Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN BRADLEY CHENAULT, NBC-HIS; A.C.A.
ActiveAthletic Trainer · GREENVILLE, TX
Registration Details
- NPI Number
- 1225007107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.107071142686 yrs)
- Last Updated
- May 16, 2012
- License
-
50067 (TX)
Practice Information
- Address
-
2112 STONEWALL STGREENVILLE, TX, 754013344Browse TX providers · Browse ZIP 75401
- Phone
- 9034555424
- Fax
- 9034558922
- Primary Specialty
-
Athletic Trainer
225500000X
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.