Individual
MELISSA NIENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
500 S KEENEY ST, COLE CAMP, MO 65325-1059
(660) 668-3751
Mailing address
8166 BOULDER RD, VERSAILLES, MO 65084-4939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2016023475
MO
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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