Mary Blochberger, MED, ATC, LAT
NPI #1295207371 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1295207371
- Entity Type
- Individual
- Name
- Mary Blochberger, MED, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MED, ATC, LAT
- Enumeration Date
- Dec 29, 2018
- Last Updated
- Dec 29, 2018
Practice Location
- Address
- 1432 SOUTHWEST BLVD
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-2444
- Phone
- (573) 632-5614
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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