Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IMBUNDU WEKULO CHARLES NAMASAKA, BS, CIFT, CPT
Active Sole ProprietorAthletic Trainer · ELLICOTT CITY, MD
Registration Details
- NPI Number
- 1376425611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2025 (0.74268525578374 yrs)
- Last Updated
- Jul 26, 2025
- Licenses
-
7132154 (WV)748773 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3006 JOHN BERNARD DRELLICOTT CITY, MD, 210422017Browse MD providers · Browse ZIP 21042
- Phone
- 4152251260
- Primary Specialty
-
Athletic Trainer
225500000X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in ELLICOTT CITY, MD
| Name | Credential | NPI |
|---|---|---|
| CAMERON ELAINE TEETER | — | 1447904057 |
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.