Individual
MISS STACEY MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 N WARSON RD, SAINT LOUIS, MO 63124-1326
(314) 995-7475
Mailing address
101 N WARSON RD, SAINT LOUIS, MO 63124-1326
(314) 995-7475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TR109847
MO
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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