Thomas Dannenberg, MAED, LAT, ATC
NPI #1255865754 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1255865754
- Entity Type
- Individual
- Name
- Thomas Dannenberg, MAED, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MAED, LAT, ATC
- Enumeration Date
- Apr 12, 2017
- Last Updated
- Jun 15, 2023
Practice Location
- Address
- 209 S KINGSHIGHWAY ST
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63301-1693
- Phone
- (618) 560-3298
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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