NPI 1003257411

Derrick Bridges, ATCLAT

Practitioner Athletic Trainer Raleigh, NC

Practice location

Address: 11200 Governor Manly Way, Raleigh, NC 27614-8599
Phone: (919) 562-9410

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2272 (NC)

Other Specialist/Technologist providers in North Carolina →

Registry record

NPI: 1003257411
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2013
Record last updated: 13 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.