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Wendell Powell, Master CPT, NFPT

Specialist/Technologist, Athletic Trainer in Wilmington, DE. Individual provider (NPI-1).

NPI number1164090221
StatusActive
Last updated in NPPESJun 15, 2021

Details

NPI
1164090221
Entity type
Individual (NPI-1)
Name
Wendell Powell
Credential
Master CPT, NFPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 15, 2021
Certification date
Jun 15, 2021
Last updated
Jun 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer38238PAYes

Practice location

213 Smyrna Ave
Wilmington, DE 19809-1236

Phone 856-361-4989

Mailing address

213 Smyrna Ave
Wilmington, DE 19809-1236

Phone 856-361-4989

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