Individual
AUSTIN COLE WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC/L
Contact information
Practice address
605 SE 12TH ST, OAK GROVE, MO 64075-9392
(816) 690-4152
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2010028612
MO
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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