NPI 1104480466

Dustin King Parker, ATC

Practitioner Athletic Trainer Joplin, MO

Practice location

Address: 3126 S Jackson Ave STE 200, Joplin, MO 64804-2500
Phone: (417) 556-3802

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2007003908 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1104480466
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2019
Record last updated: 23 Apr 2019

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.