Individual
BRIAN K HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1616 ROANOKE DR, WARRENSBURG, MO 64093-8915
(913) 209-8025
Mailing address
403 BURKARTH RD, WARRENSBURG, MO 64093-3101
(660) 747-2500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2010006854
MO
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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