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

Regan Haversack

Individual provider Athletic Trainer · NPI 1447194329

Regan Haversack is an Athletic Trainer in Cedar Grove, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

7224 Hilly Ln
Cedar Grove, WI 53013-1532
Phone: (920) 286-1038
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 number1447194329
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 19, 2026
Mailing address7224 Hilly Ln, Cedar Grove, WI 53013-1532