Josiah Hagemann, LAT, ATC
Individual provider Active NPI Athletic Trainer · Mars Hill, NC
NPI 1265713622 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1265713622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1552 (NC)
- Practice address
- 100 Athletic St
Mars Hill, NC 28754-9134 - Phone
- (828) 689-1266
- Fax
- (828) 689-1313
- NPI assigned
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1552 | NC | Yes |
Addresses
Primary practice location
100 Athletic St
Mars Hill, NC 28754-9134
Mailing address
100 Athletic St
PO Box 6668
Mars Hill, NC 28754-9134
Phone (828) 689-1266
Other providers in Mars Hill, NC
- Dr. Reese a Steen
- Dr. Reese a. Steen
- Rebecca L Engen
- Teresa Fliearman
- Peppi S Fowler
- Betty Mae Harr
- Debra Lindsay Harron
- Lindsay Elizabeth Heigel
- Chloe Henry
- Alyssa Dawn Hensley
All providers in Mars Hill, NC · Athletic Trainer in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.