Individual
MS. ZSACHLAYNE ROGUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 S WILLOW AVE, COOKEVILLE, TN 38501-4667
(931) 526-9518
(931) 372-0087
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
(833) 464-5001
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
P070358
NC
2255A2300X
Athletic Trainer
AL3504
FL
2255A2300X
Athletic Trainer
NC2405
NC
363A00000X
Physician Assistant
Primary
5427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q081480
—
TN
Enumeration date
01/15/2016
Last updated
05/24/2023
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