Individual
MR. BRENT CHARLES HOLTGREWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS., BSC., LAT, ATC
Contact information
Practice address
209 RUE SAINT LOUIS, FLORISSANT, MO 63031-5025
(314) 596-2656
Mailing address
209 RUE SAINT LOUIS, FLORISSANT, MO 63031-5025
(314) 596-2656
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2016022071
MO
2255A2300X
Athletic Trainer
AL1968
FL
Other
Enumeration date
02/06/2008
Last updated
09/05/2023
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