ZACHARY DEAN GLENN

MARSHALL, MO
NPI1144723644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2016031650)
Enumeration Date2018-03-12
Last Update Date2018-03-12
Business Address
ZACHARY DEAN GLENN ATC
500 E COLLEGE ST
MARSHALL, MO 65340-3109
Phone number: 660-831-4195
Mailing Address
ZACHARY DEAN GLENN ATC
201 W HALL ST
PILOT GROVE, MO 65276-1170
Phone number: 660-537-6883