Individual
MRS. STEPHANIE LUECKE SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1111 VALLEY VIEW CT, MACON, MO 63552-2128
(660) 395-5029
Mailing address
1111 VALLEY VIEW CT, MACON, MO 63552-2128
(660) 395-5029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2010025345
MO
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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