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

Mr. Justin Lee Drake, BSMSATCLAT

Individual provider Athletic Trainer · NPI 1891814091

Mr. Justin Lee Drake, BSMSATCLAT is an Athletic Trainer in Rolla, Missouri. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

705 W 10th St
Rolla, MO 65409-6520
Phone: (936) 552-1714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT3725 (TX)

Record details

NPI number1891814091
Entity typeIndividual (Type 1)
GenderMale
Credentials BSMSATCLAT
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESApril 15, 2009

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