Individual
ASHLEIGH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 3652, ARKADELPHIA, AR 71998-3652
(314) 750-2407
Mailing address
1817 MILLCREEK DR APT C9, ARKADELPHIA, AR 71923-3029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-01094
ATHLETIC TRAINING
KS
Enumeration date
09/27/2017
Last updated
03/17/2018
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