Individual
NICHOLAS PHILPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
213 ROTHWELL GYMNASIUM, COLUMBIA, MO 65211-0001
(573) 884-4955
Mailing address
1481 S DANIEL BOONE BLVD, COLUMBIA, MO 65201-9489
(318) 730-5667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014016017
MO
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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