Individual
CHRIS ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CES
Contact information
Practice address
712 HAYTER ST, NACOGDOCHES, TX 75962-0001
(936) 468-3788
Mailing address
712 HAYTER ST, NACOGDOCHES, TX 75962-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7682
TX
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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