PHILLIP L THREATT

COLUMBIA, MO
NPI1265455398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  103540)
Enumeration Date2006-07-26
Last Update Date2015-03-18
Business Address
-- PHILLIP L THREATT ATC
3301 BERRYWOOD DR SUITE 204
COLUMBIA, MO 65201-6517
Phone number: 573-449-8771
Mailing Address
-- PHILLIP L THREATT ATC
3301 BERRYWOOD DR SUITE 204
COLUMBIA, MO 65201-6517
Phone number: 573-449-8771
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