Individual
CASEY J ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
906 N CEDAR ST, ROLLA, MO 65401-3350
(573) 368-0999
(573) 368-2777
Mailing address
906 N CEDAR ST, ROLLA, MO 65401-3350
(573) 368-0999
(573) 368-2777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2004023926
MO
Other
Enumeration date
06/12/2008
Last updated
07/21/2009
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