Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES LORELL WENGER, ATC
ActiveCHARLES LORELL WENGER, ATC is a Athletic Trainer healthcare provider located in BROADWAY, Virginia. NPI 1164066189 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BROADWAY, VA
Registration Details
- NPI Number
- 1164066189
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2019 (6.7610331238201 yrs)
- Last Updated
- Nov 2, 2019
- License
-
0126001212 (VA)
Practice Information
- Address
-
269 GOBBLER DRBROADWAY, VA, 228159483Browse VA providers · Browse ZIP 22815
- Phone
- 5408967081
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BROADWAY, VA
| Name | Credential | NPI |
|---|---|---|
| BRYNN WHETZEL | — | 1245605161 |
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.