Individual
MR. JOSEPH FRED RECKNAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
222 REPUBLIC DR, ALLEN PARK, MI 48101-3650
(313) 216-4132
(313) 216-4135
Mailing address
6624 TIMBER RIDGE DR, BLOOMFIELD HILLS, MI 48301-3062
(248) 626-8773
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
10/02/2013
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