Individual
CALEB MYKAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4532 WEBER RD, SAINT LOUIS, MO 63123-5722
(314) 989-2813
Mailing address
1150 BONHOMME LAKE DR, SAINT LOUIS, MO 63132-5323
(314) 602-4496
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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