NPI 1164914404

Mackenzie Rose Wecker

Practitioner Athletic Trainer Fremont, NE

Practice location

Address: 900 N Clarkson St, Fremont, NE 68025-4254
Phone: (402) 721-5480
Mailing address: 801 E Donegal St, Oneill, NE 68763-1135

Registered specialties

Athletic Trainer Primary

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

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Registry record

NPI: 1164914404
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2018
Record last updated: 1 Jun 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.