Individual
CECKIA BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT ATC
Contact information
Practice address
1 COLLEGE PARK DR, SAINT LOUIS, MO 63141-8660
(864) 488-4556
Mailing address
1 COLLEGE PARK DR, SAINT LOUIS, MO 63141-8660
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2020028170
MO
2255A2300X
Athletic Trainer
—
SC
Other
Enumeration date
07/11/2018
Last updated
01/11/2024
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