Individual
LAURA SHELLABERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4389 LINDELL BLVD, SAINT LOUIS, MO 63108-2701
(314) 443-8886
Mailing address
10032 SQUIRE MEADOWS DR, APT. 6, SAINT LOUIS, MO 63123-5174
(901) 481-1391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2016033007
MO
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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