Christopher Ryan Anderson, DAT, LAT, ATC
Specialist/Technologist, Athletic Trainer in Philadelphia, PA. Individual provider (NPI-1).
NPI number1225863269
StatusActive
Last updated in NPPESSep 6, 2024
Details
- NPI
- 1225863269
- Entity type
- Individual (NPI-1)
- Name
- Christopher Ryan Anderson
- Credential
- DAT, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2024
- Certification date
- Sep 6, 2024
- Last updated
- Sep 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT006903 | PA | Yes |
Practice location
1900 W Olney AvePhiladelphia, PA 19141-1108
Phone 910-303-5124
Mailing address
2 E Ridge Rd Apt 2Media, PA 19063-2541
Phone 910-303-5124
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