Individual
SPENCER DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
1001 ROGERS ST, COLUMBIA, MO 65216-0001
(573) 875-7674
Mailing address
3603 W BROADWAY APT 8208, COLUMBIA, MO 65203-0148
(870) 759-8048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2025028367
MO
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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