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

Dwayne Patrick Hagenow

Individual provider Athletic Trainer · NPI 1184134025

Dwayne Patrick Hagenow is an Athletic Trainer in Cos Cob, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

35 River Rd Ste 2
Cos Cob, CT 06807-2759
Phone: (203) 422-0679
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 54.001127 (CT)

Record details

NPI number1184134025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 5, 2017
Last updated in NPPESOctober 5, 2017
Mailing address35 River Rd Ste 2, Cos Cob, CT 06807-2759

Other providers in Cos Cob