NPI 1013499821

Deonna Rakel Pennamon, LATATC

Practitioner Athletic Trainer Atlanta, GA

Practice location

Address: 5625 Suffex Green Lane, Atlanta, GA 30339
Phone: (678) 206-7246
Mailing address: 5625 Suffex Green Ln, Atlanta, GA 30339-6115

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT003639 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1013499821
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2018
Record last updated: 9 Jun 2021

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.