NPI 1558741546

Andrew Williams, ATC

Practitioner Athletic Trainer Sebastopol, CA

Practice location

Address: 3815 Ross Rd, Sebastopol, CA 95472-2440
Phone: (707) 304-3100

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1558741546
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2015
Record last updated: 4 Jun 2015

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.