Mr. Clinton Mccullough ATC
Athletic Trainer in Saint Paul, MN(View on Map)
Full Name
Mr. Clinton Mccullough ATC
NPI Number
1487030490
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/03/2015
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
2331
Contact
Information
Purpose
Mailing
Location
Address
435 PHALEN BLVD
435 PHALEN BLVD
City
Saint Paul
Saint Paul
State
MN
MN
Postal Code
55130-5302
55130-5302
Country
US
US
Telephone Number
(651) 254-8368
(651) 254-8368
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/03/2015