Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Regenerative Health

Organization Clinic/Center · NPI 1437040706

Executive Regenerative Health is a Clinic/Center in Rogersville, Tennessee. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3815 Highway 66 S Ste 1
Rogersville, TN 37857-5197
Phone: (866) 214-6774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1437040706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Perigo — Ceo · (559) 730-6083
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address2052 Memory Ln, Porterville, CA 93257-6298

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