Individual
HEATHER ALICESON ELKINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
325 VALLEY FOOTBALL CTR, CORVALLIS, OR 97331-8544
(406) 994-6266
Mailing address
1643 SW 49TH ST, APT. 92, CORVALLIS, OR 97333-3027
(541) 737-3212
(541) 737-3135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
03/05/2008
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