Mikah J Bange
Mikah J Bange is an Athletic Trainer in Eolia, Missouri. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
30342 Pike 221Eolia, MO 63344-4605
Phone: (573) 560-0567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1902557796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 12, 2022 |
| Last updated in NPPES | January 12, 2022 |
| Certification date | January 12, 2022 |
| Mailing address | 30342 Pike 221, Eolia, MO 63344-4605 |