NPI 1033616529

Kengo Sugimoto, ATC

Practitioner Athletic Trainer Lincoln, NE

Practice location

Address: 1400 R St, Lincoln, NE 68588-0007
Phone: (402) 472-4224
Mailing address: 4867 Gibbs Ave, Boulder, CO 80301-6207

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Nebraska →

Registry record

NPI: 1033616529
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2018
Record last updated: 1 May 2018

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.