Individual
ELLI DINKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 N WORDSWORTH LN, FAYETTEVILLE, AR 72704-5127
(817) 584-1020
Mailing address
640 N WORDSWORTH LN, FAYETTEVILLE, AR 72704-5127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7026
TX
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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