Whalio Doctors

NPI 1114439957

Zach G Hentges

Practitioner Student in an Organized Health Care Education/Training Program Fayette, MO

Practice location

Address
411 Central Methodist Sq, Fayette, MO 65248-1104
Phone
(660) 248-3391
Mailing address
303 S Sandia St, Concordia, MO 64020-8342

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary
Student, Health Care Taxonomy 390200000X
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Registry record

NPI
1114439957
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Nov 2017
Record last updated
2 Nov 2017

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.