Individual
MR. BRYCE ANDREW ENSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
400 E UNIVERSITY WAY, ELLENSBURG, WA 98926-7500
(509) 963-3238
Mailing address
24985 MONROE ROAD 217, HOLLIDAY, MO 65258-2202
(573) 473-0179
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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