Individual
KATELYNN MAE RHEINGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4700 E 56TH ST # 300, DAVENPORT, IA 52807-2904
(563) 421-4376
Mailing address
4700 E 56TH ST # 300, DAVENPORT, IA 52807-2904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.005439
IL
2255A2300X
Athletic Trainer
Primary
097458
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096.005439
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
097458
STATE OF IOWA DEPARTMENT OF PUBLIC HEALTH
IA
01
—
2000036992
BOARD OF CERTIFICATION
—
Enumeration date
03/03/2023
Last updated
03/03/2023
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