IAN ANTHONY WALKER

SAINT CHARLES, MO
NPI1639711187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO  2019032064)
Enumeration Date2019-10-16
Last Update Date2019-10-16
Business Address
MR. IAN ANTHONY WALKER ATC, LAT
209 S KINGSHIGHWAY ST
SAINT CHARLES, MO 63301-1693
Phone number: 636-949-4346
Mailing Address
MR. IAN ANTHONY WALKER ATC, LAT
4004 SUN LAKE DR
SAINT CHARLES, MO 63301-3059
Phone number: 703-209-3967