NPI 1619319381

Emelia S. Whiteaker, ATCPES

Practitioner Athletic Trainer Nevada, MO

Practice location

Address: 800 S Ash St, Nevada, MO 64772-3223
Phone: (417) 448-3990

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2008029025 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1619319381
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2013
Record last updated: 23 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.