| NPI | 1649341272 |
|---|---|
| Former Legal Business Name | MISSOURI STATE UNIVERSITY ATHLETIC TRAINING SERVICES |
| Entity Type | Organization |
| Authorized Contact | JAMES THOMAS PENKALSKI Director 417-836-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-04-01 |