MR. Dake R Walden, ATC
NPI #1124155890 in Earth City, Missouri
Provider Information
- NPI Number
- 1124155890
- Entity Type
- Individual
- Name
- MR. Dake R Walden, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 RAMS WAY
- City
- Earth City
- State
- Missouri
- ZIP Code
- 63045-1523
- Phone
- (314) 516-8735
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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