Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKAH J BANGE
ActiveAthletic Trainer · EOLIA, MO
Registration Details
- NPI Number
- 1902557796
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2022 (4.2719244242178 yrs)
- Last Updated
- Jan 12, 2022
Practice Information
- Address
-
30342 PIKE 221EOLIA, MO, 633444605Browse MO providers · Browse ZIP 63344
- Phone
- 5735600567
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.