Individual
MICHAEL CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4221
(660) 785-7521
Mailing address
508 W LAHARPE ST, KIRKSVILLE, MO 63501-1856
(816) 682-4995
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018028111
MO
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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