Derek McGaughey, ATC

Athletic Trainer · Berkley, MI

Individual Active NPI

NPI number 1104974484

Practice location

1592 Larkmoor Blvd
Berkley, MI 48072-1926
Phone
(248) 408-9256

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NPI record

NPI
1104974484
Entity type
Individual (Type 1)
Enumeration date
January 5, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — MI

About Derek McGaughey

Derek McGaughey, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1592 Larkmoor Blvd, Berkley, MI 48072-1926. The NPI number 1104974484 was assigned on January 5, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Derek McGaughey, ATC?

The NPI number is 1104974484.

What is the phone number of Derek McGaughey?

The phone number listed for the practice location is (248) 408-9256.

Where is Derek McGaughey located?

1592 Larkmoor Blvd, Berkley, MI 48072-1926.

What is the taxonomy code for Derek McGaughey?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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