Individual
MEGAN MARIE COFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
901 S NATIONAL AVE, PROFESSIONAL 160, SPRINGFIELD, MO 65897
(417) 836-8553
Mailing address
901 S NATIONAL AVE, PROFESSIONAL 160, SPRINGFIELD, MO 65897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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