SearchMissouriAthletic Trainer

Luke Trail, AT

NPI 1881153492 · on the registry since 2019 · sole proprietor

Practice

Address
198 E Stadium Blvd,
Columbia, MO 65203
Phone
(314) 809-5853

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-14

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