NPI 1053779165

Benjamin Krueger, MSATCLAT

Practitioner Athletic Trainer Saint Louis, MO

Practice location

Address: 101 N Warson Rd, Saint Louis, MO 63124-1326
Phone: (314) 650-5888

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2012017447 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1053779165
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2016
Record last updated: 3 Feb 2016

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.