Liam Rettenmeier, LAT, ATC,EMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

107 28TH St Apt 13
Canyon, TX 79015-3130

Phone

(847) 848-4475

NPI assigned

Dec 15, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1851939342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 28TH ST APT 13",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153130",
            "telephone_number": "847-848-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 28TH ST APT 13",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153130",
            "telephone_number": "847-848-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTENMEIER",
        "first_name": "LIAM",
        "credential": "LAT, ATC,EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-15",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Powell, M.S., CCC-SLP
• Preventive Primary Care, LLC
• Kayla J Price, FNP-C
• Kevin E. Raef, D.C.
• Desiree Redwine
• Robby Douglas Rhodes, MS,ATC,LAT
• Larry C Roberts, MD
• Katherine Sheri Rogers, PT
• Virginia Sauer Rojas, MA
• James Rosson, FNP-C

• Athletic Trainer in Canyon, TX
• Providers in Canyon, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.