Individual
LUKE ALLEN TRAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
198 E STADIUM BLVD,, COLUMBIA, MO 65203-6520
(314) 809-5853
Mailing address
111 E STEWART RD, COLUMBIA, MO 65203-4203
(314) 809-5853
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A142148001
MO
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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