Individual
KELSEY SCHENEWERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
400 SCHELLRIDGE RD, JEFFERSON CITY, MO 65109-1191
(573) 301-9012
Mailing address
400 SCHELLRIDGE RD, JEFFERSON CITY, MO 65109-1191
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2021023493
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/11/2019
Last updated
01/06/2023
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