Individual
KELLEN XAVIER REINSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1104 GRUNDMAN BLVD, NEBRASKA CITY, NE 68410-3397
(402) 873-7411
Mailing address
1104 GRUNDMAN BLVD, NEBRASKA CITY, NE 68410-3397
(402) 873-7411
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1193
NE
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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