MISSOURI STATE UNIVERSITY ATHLETIC MEDICAL AND REHABILITATION SERVICES is a clinic center in Springfield, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MISSOURI STATE UNIVERSITY ATHLETIC MEDICAL AND REHABILITATION SERVICES NPI is 1649341272. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Missouri State University Athletic Training Services.
The provider's business location address is:
901 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65897-027
Phone: (417) 836-5461
Fax: (417) 836-6101
The provider's authorized official is James Thomas Penkalski .
The authorized official title is Director and has the following contact phone number (417) 836-5461.
The enumeration date for this NPI number is 11/13/2006 and was last updated on 4/1/2010.