IndividualActive
Destri Millsap
NPI 1396108155 · Athletic Trainer · Hershey, NE
Provider details
- NPI number
- 1396108155
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 708 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
18934 W Kelley Ave
Hershey, NE 69143-4375
Phone: (308) 870-1978
Approximate (ZIP-level) locationGet directions
Mailing address
18934 W Kelley Ave
Hershey, NE 69143-4375
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2016-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.