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Justin Drake, BS.MS.ATC.LAT

NPI 1891814091 · on the registry since 2007

Practice

Address
705 W 10th St
Rolla, MO 65409
Phone
(936) 552-1714

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-15

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