Individual
DUSTIN FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
541 HUNTLEY HEIGHTS DR, BALLWIN, MO 63021-5884
(636) 686-5278
Mailing address
541 HUNTLEY HEIGHTS DR, BALLWIN, MO 63021-5884
(636) 686-5278
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2016029415
MO
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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