Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDISON DERR II
Active Sole ProprietorEDISON DERR II is a Athletic Trainer healthcare provider located in SAINT JOSEPH, Missouri. NPI 1861873952 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SAINT JOSEPH, MO
Registration Details
- NPI Number
- 1861873952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2015 (10.979735502793 yrs)
- Last Updated
- Jun 15, 2015
- License
-
2013032471 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2214 MAPLE STSAINT JOSEPH, MO, 645071413Browse MO providers · Browse ZIP 64507
- Phone
- 4196512323
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SAINT JOSEPH, MO
| Name | Credential | NPI |
|---|---|---|
| MR. GARY L HAZELRIGG | ATC | 1689619496 |
| MRS. KATE LEE ESELY | ATC | 1588693311 |
| REBECCA LYNN JOHNSON | ATC | 1710911169 |
| MR. BLAISE D. KRILEY | MS, ATC | 1174860944 |
| LOGAN ECK | ATC, LAT | 1235539586 |
| MS. BRENDA BAUMAN | ATC | 1477944239 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.