Individual
MRS. SHANNON FRANCES MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
1657 SCHULTE RD, SAINT LOUIS, MO 63146-4867
(217) 691-7212
Mailing address
1657 SCHULTE RD, SAINT LOUIS, MO 63146-4867
(217) 691-7212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012025629
MO
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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