Whalio Doctors

NPI 1003825969

Scott Anthony Deciantis, ATC

Practitioner Athletic Trainer Aiken, SC

Practice location

Address
471 University Parkway Usca Atep, Aiken, SC 29801
Phone
(803) 641-3207
Fax
(803) 641-3723
Mailing address
3428 Westmont Dr, Aiken, SC 29801-2969

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 491 (SC)

Registry record

NPI
1003825969
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Aug 2006
Record last updated
8 Jul 2007

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.