| NPI | 1518310101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA FOLTZ Head Athletic Trainer 417-865-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 2014021703) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |