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

Individual provider Athletic Trainer · NPI 1548675374

Zack Riessen, MED, ATC, LAT is an Athletic Trainer in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1100 Virginia Ave
Columbia, MO 65212-0001
Phone: (573) 884-0339
Fax: (573) 882-0569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2011026863 (MO)

Record details

NPI number1548675374
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , ATC , LAT
Sole proprietorNo
NPI enumeratedJuly 1, 2014
Last updated in NPPESJanuary 10, 2017

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