Justin Ullom
Justin Ullom is an Athletic Trainer in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2019.
- Licensed in
- MO
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
1111 Victor StSaint Louis, MO 63104-4323
Phone: (636) 236-5756
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 2020008148 (MO) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1538626007 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 21, 2019 |
| Last updated in NPPES | April 20, 2020 |
| Certification date | April 20, 2020 |
| Mailing address | 1911 S 11th St Apt C, Saint Louis, MO 63104-4089 |
Other providers in Saint Louis
-
Clay Dalton Thebeau, ATC
1 College Park Dr, Saint Louis, MO 63141-8660 · (314) 434-1115
-
Deyonta Tolliver, LAT, ATC
11628 Old Ballas Rd, Saint Louis, MO 63141-7030 · (314) 596-2656
-
Mr. Timothy Patrick Trupiano, ATC
8235 Clayton Rd, Saint Louis, MO 63117-1107 · (314) 961-3787
-
Michael Tzianos, LAT, ATC
9536 Fantasy Ln, Saint Louis, MO 63126-3116 · (314) 602-5948
-
Mr. Austin Michael Wagner, ATC
6300 James S McDonnell Blvd, Saint Louis, MO 63134-1940 · (314) 232-8702
-
Washington University in St Louis
1 Brookings Dr Campus Box 1067, Saint Louis, MO 63130-4862 · (314) 935-6461
-
Matthew Gregory Williams, OT
5201 Mid America Plz Ste 2600, Saint Louis, MO 63129-0002 · (314) 487-7000
-
Alexandra Erin Wilson, BS, ATC
1 College Park Dr, Saint Louis, MO 63141-8660 · (314) 434-1115