Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRANDON SCOTT ELLENWOOD, ATC
Active Sole ProprietorMR. BRANDON SCOTT ELLENWOOD, ATC is a Athletic Trainer healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1578300703 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · COUNCIL BLUFFS, IA
Registration Details
- NPI Number
- 1578300703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2024 (2.051603546522 yrs)
- Last Updated
- Jul 15, 2024
- License
-
127245 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3504 HARRY LANGDON BLVDCOUNCIL BLUFFS, IA, 515037829Browse IA providers · Browse ZIP 51503
- Phone
- 7123668220
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in COUNCIL BLUFFS, IA
| Name | Credential | NPI |
|---|---|---|
| MS. CARRIE KAY ERICKSON | ATC | 1790800373 |
| MRS. MELISSA TROUB | ATC | 1528267515 |
| MR. DUANE ALLEN MANZER | ATC | 1801073861 |
| JOSEPH ALBERT MILLER | ATC | 1417292335 |
| ABRAHAM LEDESMA | — | 1528468204 |
| ANDREW ROBERT MOHR | ATC, LAT | 1780073544 |
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.