NPI 1073390704

Andrew Wade Seaton, ATC

Practitioner Athletic Trainer Fayette, MO

Practice location

Address: 411 Central Methodist Sq STE 1, Fayette, MO 65248-1198
Phone: (660) 351-4383
Mailing address: 15960 Highway O, Gravois Mills, MO 65037-4604

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2022035531 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1073390704
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2023
Record last updated: 14 Sep 2023

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.