NPI 1013142538

Willard Agnew, MSATC

Practitioner Athletic Trainer Notre Dame, IN

Practice location

Address: 113 Joyce Ctr, Notre Dame, IN 46556-5678
Phone: (574) 631-7100

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 36001451A (IN)

Other Specialist/Technologist providers in Indiana →

Registry record

NPI: 1013142538
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 2009
Record last updated: 28 May 2009

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.