Individual
ALIZE NORIKO BOATRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3950 NEWMAN RD, JOPLIN, MO 64801-1512
(866) 818-6778
Mailing address
803 S GREENWOOD DR, JOPLIN, MO 64801-4407
(479) 926-3161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2020028864
MO
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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