# REDIRECT ATHLETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538639745
- **Authorized official:** MRS. TISHA LAGRONE (OWNER)
- **Authorized official phone:** (775) 870-9589

## Contact information

- **Practice address:** 5655 RIGGINS CT STE 7, RENO, NV 89502-6565
- **Practice address phone:** (775) 870-9589
- **Mailing address:** 5655 RIGGINS CT STE 7, RENO, NV 89502-6565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 11/30/2018