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Individual

MS. MICHELLE PADGETT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
4009 PAULE AVE, SAINT LOUIS, MO 63125-1311
(314) 638-0910
Mailing address
4009 PAULE AVE, SAINT LOUIS, MO 63125-1311
(314) 638-0910

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
TR111932
MO

Other

Enumeration date
06/16/2006
Last updated
07/08/2007
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