Individual
MONTY RAY CHITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(816) 344-3603
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(816) 344-3603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2005005289
MO
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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