Organization
EVERFLEXFIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANT GARRISON BS, CSS, CPT, CSF CN (OWNER/OPERATOR)
(816) 289-1502
Entity
Organization
Contact information
Practice address
51 A ST, LAKE LOTAWANA, MO 64086-9703
(816) 289-1502
Mailing address
51 A ST, LAKE LOTAWANA, MO 64086-9703
(816) 289-1502
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417792102
—
MO
Enumeration date
08/14/2024
Last updated
08/14/2024
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