Andrea Renee Bagnall, ATC

NPI #1649625310 in Thatcher, Arizona

Provider Information

NPI Number
1649625310
Entity Type
Individual
Name
Andrea Renee Bagnall, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Apr 29, 2016
Last Updated
Apr 29, 2016

Practice Location

Address
2934 W PALO VERDE ST
State
Arizona
ZIP Code
85552
Phone
(928) 651-4245

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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