Graduated: 1998
NPI: 1386953008
Practice Locations (3)
ATHLETICO LTD
2900 TRIMBLE RD, SUITE 101
COLUMBIA, MO 652017180
5733977036
ATHLETICO LTD
4004 PEACH CT, SUITE H
COLUMBIA, MO 652033800
5732568100
ATHLETICO LTD
2007 W FOXWOOD DR, SUITE D
RAYMORE, MO 640839589
8162658116
Source: CMS National Downloadable File, September 2026.