Individual
DAVID EATON COLT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
800 UNIVERSITY DR, LAC - 043, MARYVILLE, MO 64468-6015
(660) 562-1313
Mailing address
1427 N MULBERRY ST, MARYVILLE, MO 64468-1156
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00015
MO
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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