NPI 1144784471

Shannon Goltl, ATC

Practitioner Athletic Trainer Columbia, MO

Practice location

Address: 2500 Old Highway 63 S APT 7113, Columbia, MO 65201-2203
Phone: (720) 829-7575
Mailing address: 5306 Silver Mill Dr, Columbia, MO 65202-6593

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2000038556 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1144784471
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2019
Record last updated: 28 Jun 2020

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.