Individual
ASHLEY STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3535 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-9800
Mailing address
1820 W WALNUT LAWN ST, APT K4, SPRINGFIELD, MO 65807-4676
(314) 403-5728
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2016024287
MO
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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