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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WILLARD AGNEW III, MS, ATC

Active

MR. WILLARD AGNEW III, MS, ATC is a Athletic Trainer healthcare provider located in NOTRE DAME, Indiana. NPI 1013142538 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NOTRE DAME, IN

Registration Details

NPI Number
1013142538
Provider Type
Individual
Gender
Male
NPI Issued
May 28, 2009 (17.184263497509 yrs)
Last Updated
May 28, 2009
License
36001451A (IN)

Practice Information

Address
113 JOYCE CTR
NOTRE DAME, IN, 465565678
Browse IN providers · Browse ZIP 46556
Phone
5746317100
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in NOTRE DAME, IN

Name Credential NPI
MR. JIM RUSS 1295703098
ALICIA MARIE ROANE ATC 1174550677
ANNE M MARQUEZ M.ED., ATC/L 1659639615
KATIE BOURBONNAIS M.S, ATC, LAT, CSCS 1255736849
VICTORIA HOMMEL MS, ATC, LAT 1922456383
CLOE LUCIA KLAUS ATC 1477068146
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.