Individual
MR. JOEL D. CRYDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
6800 WYDOWN BLVD, SAINT LOUIS, MO 63105-3043
(314) 889-1456
(314) 889-4507
Mailing address
206 KANSAS AVE, BELLEVILLE, IL 62221-4940
(619) 310-1481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2004035413
MO
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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