Organization
CENTRAL METHODIST UNIVERSITY SPORTS MEDICINE/ATHLETIC TRAINING
Active
Parent organization
CENTRAL METHODIST UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL METHODIST UNIVERSITY
Authorized official
MR. WADE WELTON ATC (DIRECTOR,SPORTS MED/ATH TRAINING)
(660) 248-6217
Entity
Organization
Contact information
Practice address
411 CENTRAL METHODIST SQ, FAYETTE, MO 65248-1104
(660) 248-6217
(660) 248-6381
Mailing address
411 CENTRAL METHODIST SQ, FAYETTE, MO 65248-1104
(660) 248-6217
(660) 248-6381
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
102437
MO
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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