Individual
KELSEY GASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
501 WESTMINSTER AVE, FULTON, MO 65251-1299
(573) 819-9716
Mailing address
16075 TALLADEGA DR, ASHLAND, MO 65010-7731
(573) 819-9716
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019010232
MO
Other
Enumeration date
03/02/2017
Last updated
09/24/2021
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