James Penkalski, ATC

NPI 1073505921 · on the registry since 2005

Practice

Address: 901 S National Ave
Forsythe Athletic Center, Rm 109
Springfield, MO 65804
Phone: (417) 836-5461
Fax: (417) 836-6101
Organisation at this address: Missouri State University Athletic Training Servicesis
Missouri State University Athletic Medical And Rehabilitation Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 103

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri