Search › Missouri › 2255A2300X
Daniel Rackovan, ATC, LAT
NPI 1609285816 · on the registry since 2014 · sole proprietor
Practice
- Address
- 13537 Barret Pkwy Dr
105
Ballwin, MO 63021 - Phone
- (314) 821-9126
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
- 2014-08-13
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