Graduated: 1995
NPI: 1952471468
Practice Locations (2)
ATHLETICO LTD
2900 TRIMBLE RD, SUITE 101
COLUMBIA, MO 652017180
5733977036
ATHLETICO LTD
2007 W FOXWOOD DR, SUITE D
RAYMORE, MO 640839589
8162658116
Source: CMS National Downloadable File, September 2026.