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Search › Missouri › 2255A2300X

Alexa Declue, ATC

NPI 1275012601 · on the registry since 2018 · sole proprietor

Practice

Address
901 S National Ave
Springfield, MO 65897
Phone
(417) 836-5461
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
Sex
Female
Record last updated
2018-08-07

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