Adam James Joseph Depew, LAT, ATC
Specialist/Technologist, Athletic Trainer in Huntsville, AL. Individual provider (NPI-1).
NPI number1225755960
StatusActive
Last updated in NPPESJul 12, 2024
Details
- NPI
- 1225755960
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adam James Joseph Depew
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2022
- Certification date
- Jul 12, 2024
- Last updated
- Jul 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2905 | AL | Yes |
Practice location
301 Sparkman Dr NwHuntsville, AL 35805-1911
Phone 256-824-1000
Mailing address
208 Pennsylvania AveMadison, AL 35758-6271
Phone 256-656-3297
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All 38 Athletic Trainer providers in Huntsville · All 7,410 providers in Huntsville
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