NPI 1154782498

Pamela Staso, ATC

Practitioner Athletic Trainer Fort Leonard Wood, MO

Practice location

Address: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: (573) 596-0035
Mailing address: 23732 Risen Rd, Waynesville, MO 65583-2506

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RTO000159 (PA)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1154782498
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2016
Record last updated: 13 Feb 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.