Ashley King, MS, ATC, LAT

NPI #1770030363 in Fenton, Missouri

Provider Information

NPI Number: 1770030363
Entity Type: Individual
Name: Ashley King, MS, ATC, LAT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MS, ATC, LAT
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 1207 PATRICK DR
City: Fenton
State: Missouri
ZIP Code: 63026-4317
Phone: (314) 766-1306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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