Provider Demographics
NPI:1033354196
Name:MCELHINNEY, MICHAEL K
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:K
Last Name:MCELHINNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE UNIVERSITY AVE
Mailing Address - Street 2:WILLIAM WOODS UNIVERSITY - ATHLETICS
Mailing Address - City:FULTON
Mailing Address - State:MO
Mailing Address - Zip Code:65251
Mailing Address - Country:US
Mailing Address - Phone:573-592-4398
Mailing Address - Fax:
Practice Address - Street 1:ONE UNIVERSITY AVENUE
Practice Address - Street 2:WILLIAM WOODS UNIVERSITY - ATHLETICS
Practice Address - City:FULTON
Practice Address - State:MO
Practice Address - Zip Code:65251
Practice Address - Country:US
Practice Address - Phone:573-592-4398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080225782255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer