Individual
MISS KRISTIN QUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1425 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3407
(636) 887-3660
Mailing address
133 CEDAR COVE TRL APT 2, LAKE ST LOUIS, MO 63367-2867
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2005024074
MO
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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