NPI 1417374026

Preston James Anderon, MSLATATC

Practitioner Athletic Trainer Frederick, MD

Practice location

Address: 141 Thomas Johnson Dr Suite 180, Frederick, MD 21702-4502
Phone: (301) 620-7478
Fax: (301) 620-7479

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A0000519 (MD)

Other Specialist/Technologist providers in Maryland →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT005168 (PA)

Registry record

NPI: 1417374026
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2014
Record last updated: 20 Mar 2014

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.