Nathanael Comer, LAT, ATC
Specialist/Technologist, Athletic Trainer in Springfield, MO. Individual provider (NPI-1).
NPI number1144707993
StatusActive
Last updated in NPPESJul 24, 2018
Details
- NPI
- 1144707993
- Entity type
- Individual (NPI-1)
- Name
- Nathanael Comer
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2018
- Last updated
- Jul 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2018024443 | MO | Yes |
Practice location
1111 N Glenstone AveSpringfield, MO 65802-2125
Phone 417-865-2811
Mailing address
1130 S Scenic Ave Apt D302Springfield, MO 65802-5244
Phone 417-343-1558
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All 159 Athletic Trainer providers in Springfield · All 7,858 providers in Springfield
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