Individual
ABIGAIL KATHERINE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S NATIONAL AVE # 160, SPRINGFIELD, MO 65897-0001
(417) 836-8553
Mailing address
517 RASCAL XING, O FALLON, MO 63366-4460
(636) 696-5248
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/28/2019
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