TIMOTHY OSTERHOUDT

SAINT CHARLES, MO
NPI1164955662
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO  2015023369)
Enumeration Date2017-04-11
Last Update Date2017-04-11
Business Address
TIMOTHY OSTERHOUDT LAT, ATC
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4816
Mailing Address
TIMOTHY OSTERHOUDT LAT, ATC
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: