Edward Renehan, ATC
Specialist/Technologist, Athletic Trainer in Charles Town, WV. Individual provider (NPI-1).
NPI number1982156121
StatusActive
Last updated in NPPESNov 3, 2016
Details
- NPI
- 1982156121
- Entity type
- Individual (NPI-1)
- Name
- Edward Renehan
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2016
- Last updated
- Nov 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126000148 | VA | Yes |
Practice location
517 S Mildred StCharles Town, WV 25414-1331
Phone 703-371-6287
Mailing address
517 S Mildred StCharles Town, WV 25414-1331
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