TRACI ELLERY

PHOENIX, AZ
NPI1588074413
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  0593)
Enumeration Date2014-04-30
Last Update Date2014-04-30
Business Address
-- TRACI ELLERY MS, ATC
1101 E THOMAS RD
PHOENIX, AZ 85014-5447
Phone number: 602-764-6686
Mailing Address
-- TRACI ELLERY MS, ATC
1616 W GERMANN RD APT 2102
CHANDLER, AZ 85286-6991
Phone number: