NPI 1124558986
Nicholas Rehagen, ATC
Practice location
- Address
- 304 Timber Creek Rd, Jefferson City, MO 65109
- Phone
- (573) 462-9534
- Mailing address
- 304 Timber Creek Dr, Jefferson City, MO 65109-6519
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1124558986
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Jun 2017
- Record last updated
- 14 Jun 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.