Individual
ZACH G HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 CENTRAL METHODIST SQ, FAYETTE, MO 65248-1104
(660) 248-3391
Mailing address
303 S SANDIA ST, CONCORDIA, MO 64020-8342
(816) 447-8984
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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