NPI 1023488558

Keisuke Kagawa, ATC

Practitioner Athletic Trainer Brookhaven, GA

Practice location

Address: 2803 Clairmont Rd NE Apartment C, Brookhaven, GA 30329-2627
Phone: (304) 685-3699

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT002707 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1023488558
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2015
Record last updated: 26 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.