Individual
MR. NATHAN RYAN WERREMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5270 FLAT RIVER DR, PARK HILLS, MO 63601-2224
(573) 480-6479
(573) 518-2153
Mailing address
405 SHADE TREE LN, FARMINGTON, MO 63640-7708
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2010020243
MO
Other
Enumeration date
04/16/2010
Last updated
09/14/2010
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