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ATHLETICS SPORTS MEDICINE NPI 1144339334


NPI Information

NPI: 1144339334
Provider Name: ATHLETICS SPORTS MEDICINE
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Organization
Address:
7508 BIG BEND BLVD
SAINT LOUIS, MO
ZIP 63119
Phone: (314) 341-4931
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ATHLETICS SPORTS MEDICINE is a neuromusculoskeletal medicine sports medicine in Saint Louis, MO. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ ATHLETICS SPORTS MEDICINE NPI is 1144339334. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7508 BIG BEND BLVD
SAINT LOUIS, MO
ZIP 63119-104
Phone: (314) 341-4931
Fax: (314) 647-1964

The provider's authorized official is Cyd Charisse Williams .
The authorized official title is Owner/physician and has the following contact phone number (314) 647-4880.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine1999135803MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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