Rochelle Marie Hamm

Individual provider Active NPI Athletic Trainer · Columbia, MO

NPI 1356745889 · NPPES record last updated Oct 13, 2014

Key facts

NPI
1356745889
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
2009029673 (MO)
Practice address
1001 Rogers St
Columbia, MO 65216-1000
Phone
(573) 875-7674
NPI assigned
Oct 13, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2009029673MOMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2009029673 MO Yes

Addresses

Primary practice location

1001 Rogers St
Columbia, MO 65216-1000

Mailing address

2301 S Providence Rd
Apt D
Columbia, MO 65203-3538
Phone (507) 272-1200

Other providers in Columbia, MO

All providers in Columbia, MO · Athletic Trainer in Missouri

Sources for this page

Verify at the official NPI Registry.