Individual
MS. ELISA P REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, PTA
Contact information
Practice address
101 S BARTLETT ST, MEDFORD, OR 97501-7217
(720) 582-8470
Mailing address
1161 ASHLAND MINE RD, ASHLAND, OR 97520-9332
(720) 582-8470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
059102305
CO
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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