Individual
MADISON MICHAEL REGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3200 COLLEGE AVE, BEAVER FALLS, PA 15010-3599
(724) 561-5881
Mailing address
3200 COLLEGE AVE, BEAVER FALLS, PA 15010-3599
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000245
PA
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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