JUSTIN LEE EBERT

SPRINGFIELD, MO
NPI1689665226
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MO  119560)
Enumeration Date2005-11-02
Last Update Date2007-07-08
Business Address
MR. JUSTIN LEE EBERT ATC
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-7990
Mailing Address
MR. JUSTIN LEE EBERT ATC
4352 W 2ND ST
BATTLEFIELD, MO 65619-9794
Phone number: 417-886-0488