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

Mary Rose Irene Gogola

Individual provider Athletic Trainer · NPI 1598635450

Mary Rose Irene Gogola is an Athletic Trainer in Saint Louis, Missouri. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

1 N Grand Blvd
Saint Louis, MO 63103-2097
Phone: (800) 758-3678
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1598635450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

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