NPI 1124396288

Mary Jeanette Collins, ATCLATC

Practitioner Athletic Trainer Fayette, MO

Practice location

Address: 411 Central Methodist Sq, Fayette, MO 65248-1104
Phone: (660) 248-6289
Mailing address: 614 S Main St, Brookfield, MO 64628-2341

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2010019646 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1124396288
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2011
Record last updated: 5 Dec 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.