Individual
BRIANNA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 COLLEGE PARK DR, SAINT LOUIS, MO 63141-8660
(314) 485-8415
Mailing address
122 STEAMBOAT LN, #302, BALLWIN, MO 63011-3202
(845) 750-1933
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014024990
MO
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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