Individual
DANIEL HERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
633 EMERSON RD, SUITE 20, CREVE COEUR, MO 63141-6739
(636) 893-1360
Mailing address
633 EMERSON RD, SUITE 20, CREVE COEUR, MO 63141-6739
(636) 893-1360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014018080
MO
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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