Individual
TERESA MAXINE KIRCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSCS, ATC
Contact information
Practice address
411 CENTRAL METHODIST SQ, ATHLETIC TRAINING DEPARTMENT, FAYETTE, MO 65248-1104
(660) 248-6289
(660) 248-6381
Mailing address
411 CENTRAL METHODIST SQ, ATHLETIC TRAINING DEPARTMENT, FAYETTE, MO 65248-1104
(660) 248-6289
(660) 248-6381
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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