NPI 1053761361

Ashlee Revell, LATATC

Practitioner Athletic Trainer North Charleston, SC

Practice location

Address: 3455 Airframe Dr, North Charleston, SC 29418-6953
Phone: (843) 709-1712
Mailing address: 8948 N Red Maple Cir, Summerville, SC 29485-9016

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 1881 (SC)

Other Specialist/Technologist providers in South Carolina →

Registry record

NPI: 1053761361
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2016
Record last updated: 16 Jun 2016

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.