Individual
MRS. AMY LEE CRUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-6000
(417) 269-5508
Mailing address
14627 STATE HIGHTWAY B, MARSHFIELD, MO 65706
(417) 824-2611
(417) 269-5508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006027166
MO
Other
Enumeration date
10/06/2006
Last updated
02/17/2015
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