Gina Marie Fuller, ATC
Specialist/Technologist, Athletic Trainer in Gardendale, AL. Individual provider (NPI-1).
NPI number1104587005
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1104587005
- Entity type
- Individual (NPI-1)
- Name
- Gina Marie Fuller
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2022
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1593 | AL | Yes |
Practice location
540 Melonie LnGardendale, AL 35071-2231
Phone 334-648-6110
Mailing address
540 Melonie LnGardendale, AL 35071-2231
Phone 334-648-6110
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in Gardendale, AL
- Kevin Carnall, ATCNPI 1225680549
- Jeremy Free, ATC/LNPI 1316350812
- Michael Miller, ATCNPI 1962856989
- Rachel A MillerNPI 1124531835
- Thomas Bradley Myrick, ATHLETIC TRAINERNPI 1154505451
- Elias Wangaard, ATCNPI 1942600804
All 7 Athletic Trainer providers in Gardendale · All 483 providers in Gardendale
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.