Andrea Edmisten

NPI #1619693900 in Wilmington, Ohio

Provider Information

NPI Number: 1619693900
Entity Type: Individual
Name: Andrea Edmisten
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 18, 2022
Last Updated: Oct 18, 2022

Practice Location

Address: 1870 QUAKER WAY
City: Wilmington
State: Ohio
ZIP Code: 45177-2473
Phone: (937) 382-6661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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