Doctor Name: | TERESA MAXINE KIRCHER |
NPI Number: | 1174796171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSCS, ATC |
License Number: | |
Business Practice Address: | 411 Central Methodist Sq Athletic Training Department Fayette, MO - 652481104 |
Business Phone Number: | 6602486289 |
Business Fax Number: | 6602486381 |
Mailing Address: | 411 Central Methodist Sq, Athletic Training Department FAYETTE |
State: | MO |
Postal Code: | 652481104 |
Phone Number: | 6602486289 |
Fax Number: | 6602486381 |
NPI Enumeration Date: | 04/10/2008 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |