Individual
MR. MICHAEL PATRICK BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, CSCS
Contact information
Practice address
1 BROOKINGS DR, CAMPUS BOX 1067, SAINT LOUIS, MO 63130-4862
(314) 935-6461
(314) 935-8789
Mailing address
1 BROOKINGS DR, CAMPUS BOX 1067, SAINT LOUIS, MO 63130-4862
(314) 935-6461
(314) 935-8789
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
111391
MO
Other
Enumeration date
01/17/2008
Last updated
08/28/2023
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