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

MR. ROBERT CARL DETWYLER, ATC, LAT

Active

MR. ROBERT CARL DETWYLER, ATC, LAT is a Athletic Trainer healthcare provider located in GREENVILLE, South Carolina. NPI 1245288463 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GREENVILLE, SC

Registration Details

NPI Number
1245288463
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2006 (20.236158990289 yrs)
Last Updated
May 30, 2024
Licenses
AL386 (FL)
AT1042 (SC)

Practice Information

Address
200 PATEWOOD DR STE 100
GREENVILLE, SC, 296153593
Browse SC providers · Browse ZIP 29615
Phone
8644361837
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in GREENVILLE, SC

Name Credential NPI
MEGAN M FURNISH LAT,ATC 1629065917
LEWIS EARL MCCARTY JR. ATC, NREMT-I, OTC 1427088707
MRS. BENETTA M ALBAUGH ATC 1356443535
CHRISTINA JOY GASTON ATC 1104925643
JOSEPH SCOTT FARMER ATC 1417013566
MISS NANCY ELAINE BAKER ATC,SCAT 1518013465
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.