Individual
CASSANDRA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 W SOUTH ST, WARRENSBURG, MO 64093-2324
(640) 583-4111
Mailing address
3338 CAVAN DR, SAINT ANN, MO 63074-3420
(314) 684-9358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2019
Last updated
01/18/2023
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