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

TAKEO ICHIYANAGI, MS, ATC

Active Sole Proprietor

TAKEO ICHIYANAGI, MS, ATC is a Athletic Trainer healthcare provider located in IRMO, South Carolina. NPI 1144637620 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · IRMO, SC

Registration Details

NPI Number
1144637620
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2014 (12.035579938319 yrs)
Last Updated
Jul 17, 2014
Sole Proprietor
Yes

Practice Information

Address
6 YEARLING CT
IRMO, SC, 290632939
Browse SC providers · Browse ZIP 29063
Phone
8035561089
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in IRMO, SC

Name Credential NPI
MR. MACK CARLTON HARVEY ATC 1619932712
JAMES MICHAEL MENSCH PHD,ATC 1659626232
STEPHEN MURPHY 1558778944
TIMOTHY KINNEY JR. 1255738233
JOHN DICKINSON 1104223148
JENNIFER ELIZABETH NEWELL AT 1962894279
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.