NPI 1104418946

Callie Lucinda Bushart, ATC

Practitioner Athletic Trainer Joplin, MO

Practice location

Address: 3950 Newman Rd, Joplin, MO 64801-1512
Phone: (903) 944-9555

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2024000700 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1104418946
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2021
Record last updated: 24 Jun 2024

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.