BRANDON SCOTT ELLENWOOD

COUNCIL BLUFFS, IA
NPI1578300703
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  127245)
Enumeration Date2024-07-15
Last Update Date2024-07-15
Business Address
Mr. BRANDON SCOTT ELLENWOOD ATC
3504 HARRY LANGDON BLVD
COUNCIL BLUFFS, IA 51503-7829
Phone number: 712-366-8220
Mailing Address
Mr. BRANDON SCOTT ELLENWOOD ATC
6752 N 164TH PLZ UNIT 3304 APT 4
OMAHA, NE 68116
Phone number: 402-649-6501