NPI 1003871609

Christopher Coker, ATCLAT

Practitioner Athletic Trainer Jefferson City, MO

Practice location

Address: 1225 W Stadium Blvd, Jefferson City, MO 65109-6003
Phone: (573) 645-4501
Mailing address: 405 Clayton Dr APT B9, Jefferson City, MO 65101-5100

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2006009446 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1003871609
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2006
Record last updated: 1 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.