Individual
ELIZABETH ANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1500 UNIVERSITY DR, ATHLETIC DEPARTMENT, BILLINGS, MT 59101-0245
(406) 657-2375
Mailing address
945 VENICE BEACH WAY, UNIT 4, BILLINGS, MT 59106-2490
(406) 589-6163
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2000007791
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000007791
NATABOC
—
01
—
ATR-LAT-LIC-867
MONTANA ATHLETIC TRAINING LICENSURE
MT
Enumeration date
03/06/2015
Last updated
03/06/2015
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