NPI 1720248750

Casey J Robertson, ATCLAT

Practitioner Athletic Trainer Rolla, MO

Practice location

Address: 906 N Cedar St, Rolla, MO 65401-3350
Phone: (573) 368-0999
Fax: (573) 368-2777

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2004023926 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1720248750
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2008
Record last updated: 21 Jul 2009

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.