Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Callie Lucinda Bushart, ATC

Individual provider Athletic Trainer · NPI 1104418946

Callie Lucinda Bushart, ATC is an Athletic Trainer in Joplin, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3950 Newman Rd
Joplin, MO 64801-1512
Phone: (903) 944-9555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2024000700 (MO)

Record details

NPI number1104418946
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

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