Individual
CHAD MICHAEL LINCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2125 N GLENSTONE AVE, SPRINGFIELD, MO 65802
(417) 865-2815
Mailing address
609 E CHERRY ST, SPRINGFIELD, MO 65806-3401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2018026597
MO
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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