Individual
NATHAN MICHAEL SHORTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY PLZ # 573, CAPE GIRARDEAU, MO 63701-4710
(573) 651-2000
Mailing address
954 SEARLE CT, WENTZVILLE, MO 63385-2662
(636) 698-8561
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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