Provider Demographics
NPI:1891068094
Name:CALL, REX (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:REX
Middle Name:
Last Name:CALL
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 S COLLEGE ST
Mailing Address - Street 2:LILLY CENTER
Mailing Address - City:GREENCASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:46135-1947
Mailing Address - Country:US
Mailing Address - Phone:765-658-4937
Mailing Address - Fax:765-658-4983
Practice Address - Street 1:702 S COLLEGE ST
Practice Address - Street 2:LILLY CENTER
Practice Address - City:GREENCASTLE
Practice Address - State:IN
Practice Address - Zip Code:46135-1947
Practice Address - Country:US
Practice Address - Phone:765-658-4937
Practice Address - Fax:765-658-4983
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36000105A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer