Individual
MICHAEL ELLIOTT NEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, OTC
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-1022
(573) 882-2663
Mailing address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2021035008
MO
Other
Enumeration date
03/06/2019
Last updated
06/01/2024
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