Individual
DARIUS TREVON RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
411 CENTRAL METHODIST SQ STE 1, FAYETTE, MO 65248-1198
(660) 248-6251
Mailing address
3601 W BROADWAY APT 32101, COLUMBIA, MO 65203-7930
(660) 631-7677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2023049011
MO
Other
Enumeration date
07/25/2024
Last updated
08/02/2024
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