Individual
HEATHER B ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
845 SW 30TH ST STE 100, CORVALLIS, OR 97331-8629
(541) 768-7700
Mailing address
3917 BEAR HOLLOW RD, JOELTON, TN 37080-8912
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT10193631
OR
2255A2300X
Athletic Trainer
Primary
—
UT
Other
Enumeration date
05/25/2012
Last updated
10/22/2024
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