Individual
JAYME STEPHEN EARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CSCS
Contact information
Practice address
398 BLUE JAY DR, LIBERTY, MO 64068-1977
(816) 407-2315
Mailing address
23201 NE 164TH ST, KEARNEY, MO 64060-9280
(816) 560-8973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2021036518
MO
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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