Ellen K. Payne, MA, ATC, CSCS
NPI #1003833989 in Portola Valley, California
Provider Information
- NPI Number
- 1003833989
- Entity Type
- Individual
- Name
- Ellen K. Payne, MA, ATC, CSCS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MA, ATC, CSCS
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 302 PORTOLA RD
- City
- Portola Valley
- State
- California
- ZIP Code
- 94028-7851
- Phone
- (650) 851-6128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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