Individual
TRICIA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
(636) 949-4115
Mailing address
2023 CLOCK TOWER SQ, SAINT CHARLES, MO 63303-2140
(785) 577-1699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2103028789
MO
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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