Individual provider · Type 1 NPI

Elise Pacholewski, LAT, ATC

Student in an Organized Health Care Education/Training Program · Fulton, MO

NPI number 1376997726 Active

Practice location

501 Westminster Ave
Fulton, MO 65251-1230

Mailing address

2401 W Broadway, Apt 110
Columbia, MO 65203-1270

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2015002148 (MO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376997726

Elise Pacholewski, LAT, ATC's National Provider Identifier is 1376997726, issued on Apr 21, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fulton, MO. The record was last updated on Apr 21, 2016.