Individual
ROBERT CARMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1257
(573) 288-6304
Mailing address
1 COLLEGE HL, CANTON, MO 63435-1257
(573) 288-6304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
102587
MO
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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