NPI 1104370493

Casey Rexroat

Practitioner Basic Emergency Medical Technician Monmouth, IL

Practice location

Address: 601 Industrial Park Rd, Monmouth, IL 61462-9796
Phone: (309) 734-8428
Mailing address: 1112 E Franklin Ave, Monmouth, IL 61462-1464

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 001059393 (IL)

Other Emergency Medical Technician, Basic providers in Illinois →

Registry record

NPI: 1104370493
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Aug 2016
Record last updated: 4 Aug 2016

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.