Adam Douglas Henry, ATC, SCAT
Specialist/Technologist, Athletic Trainer in Andrews, SC. Individual provider (NPI-1).
NPI number1245647635
StatusActive
Last updated in NPPESJul 17, 2014
Details
- NPI
- 1245647635
- Entity type
- Individual (NPI-1)
- Name
- Adam Douglas Henry
- Credential
- ATC, SCAT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2014
- Last updated
- Jul 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 869 | SC | Yes |
Practice location
12890 County Line RdAndrews High School
Andrews, SC 29510-6877
Phone 843-264-3414
Mailing address
12890 County Line RdAndrews High School
Andrews, SC 29510-6877
Phone 843-264-3414
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