Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN EDGERTON, EDD, LAT
Active Sole ProprietorGLENN EDGERTON, EDD, LAT is a Athletic Trainer healthcare provider located in FLAGSTAFF, Arizona. NPI 1083149231 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1083149231
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2017 (9.3381335357656 yrs)
- Last Updated
- Apr 25, 2017
- License
-
1079 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1705 N SAN FRANCISCO STFLAGSTAFF, AZ, 860011348Browse AZ providers · Browse ZIP 86001
- Phone
- 9285236837
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FLAGSTAFF, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. LANDON HOPE BRADFORD | ATC | 1235142779 |
| BELINDA C DONAHOE | ATC, LAT | 1538377650 |
| CHERISSE COSTAS KUTYREFF | ATC/L | 1619244597 |
| SARAH SHUTE | ATC, LAT | 1396013371 |
| DEBBIE I. CRAIG | ATC | 1235546508 |
| DR. SCOT RAAB | ATC | 1437549862 |
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.