Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUZANNE CHANNELL, ATC, LAT, MBA
Active Sole ProprietorSUZANNE CHANNELL, ATC, LAT, MBA is a Athletic Trainer healthcare provider located in VICKSBURG, Mississippi. NPI 1376660290 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · VICKSBURG, MS
Registration Details
- NPI Number
- 1376660290
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2007 (19.367138304755 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT0262 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 MCAULEY DRVICKSBURG, MS, 391832825Browse MS providers · Browse ZIP 39183
- Phone
- 6018836309
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.