Individual
CALEB COALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
120 NE SAINT LUKES BLVD STE 200, LEES SUMMIT, MO 64086-6011
(217) 494-3914
Mailing address
313 SE ALICE ST, BLUE SPRINGS, MO 64014-3625
(217) 494-3914
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2019003140
MO
2255A2300X
Athletic Trainer
AL3344
FL
2255A2300X
Athletic Trainer
AT003035
GA
Other
Enumeration date
07/18/2016
Last updated
02/04/2019
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