CODY MOON

MARYVILLE, MO
NPI1790340693
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2018016971)
Enumeration Date2019-05-06
Last Update Date2019-05-06
Business Address
CODY MOON ATC
515 W 11TH ST APT 16
MARYVILLE, MO 64468-3509
Phone number: 785-447-0626
Mailing Address
CODY MOON ATC
800 UNIVERSITY DR
MARYVILLE, MO 64468-6015
Phone number: 660-562-1313
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