Individual
BRENDA JO CRITCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, CSCS, LAT
Contact information
Practice address
126 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-8952
(573) 596-6606
Mailing address
20329 SKYVIEW DR, UNIT C, WAYNESVILLE, MO 65583-3559
(406) 431-9628
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2011010489
MO
Other
Enumeration date
05/12/2012
Last updated
05/12/2012
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