NPI 1215765672

Darius Trevon Rich, MATLATATC

Practitioner Athletic Trainer Fayette, MO

Practice location

Address: 411 Central Methodist Sq STE 1, Fayette, MO 65248-1198
Phone: (660) 248-6251
Mailing address: 3601 W Broadway APT 32101, Columbia, MO 65203-7930

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2023049011 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1215765672
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2024
Record last updated: 2 Aug 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.