NPI 1740670314

Terricka Stewart, ATCLATMS

Practitioner Athletic Trainer Fort Leonard Wood, MO

Practice location

Address: 885 West 16th St., Fort Leonard Wood, MO 65473
Phone: (573) 596-7174
Mailing address: 300 Historic 66 E APT 4, Waynesville, MO 65583-3235

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0928 (AZ)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1740670314
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2015
Record last updated: 3 Feb 2015

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.