Individual
MICHELLE BOYD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 EAST NORMAL STREET, KIRKSVILLE, MO 63501-4221
(660) 785-7364
Mailing address
1707 EAST LAHARPE STREET, KIRKSVILLE, MO 63501-4221
(660) 627-1177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
108843
MO
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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