Individual
RUTH YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2454 W CLAY ST, SAINT CHARLES, MO 63301-2548
(636) 916-4625
Mailing address
2454 W CLAY ST, SAINT CHARLES, MO 63301-2548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009016566
MO
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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