Individual provider · NPI-1

Mark Hunter, ATC, CSCS

Specialist/Technologist, Athletic Trainer · Saint Peters, MO

NPI number1235347386
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1235347386
Entity type
Individual (NPI-1)
Name
Mr. Mark Hunter
Credential
ATC, CSCS
Sex
Male
Sole proprietor
No
Enumeration date
May 21, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2004003506MOYes

Practice location

4800 Mexico Rd
Suite 104
Saint Peters, MO 63376-1666

Phone 636-939-9540

Mailing address

1035 Landing Place Dr
O Fallon, MO 63367-4070

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