Gary William Lake in Wadsworth - Athletic Trainer

Gary William Lake - NPI 1598738825

Gary William Lake is a Athletic Trainer in Wadsworth, Ohio. Gary William Lake practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Gary William Lake is 1598738825. The last update date is 2007-07-08.

Gary William Lake's current location address is 437 Barrenwood Dr, Wadsworth, Ohio. You can contact this provider via phone number 3303369398. The mailing address for Gary William Lake is 437 Barrenwood Dr, Wadsworth, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary William Lake
Address 437 Barrenwood Dr, Wadsworth, Ohio
Phone Number 3303369398
Fax Number
Sole Proprietor X
Credentials ATC

NPI Number Detail

NPI Number 1598738825
Provider Enumeration Date 2006-02-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 437 Barrenwood Dr
City Wadsworth
State Ohio (OH)
Post Code 442811085
Phone Number 3303369398
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No AT000402
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Gary William Lake

What is the Gary William Lake's 1598738825?

The Gary William Lake's NPI (National Provider Identifier) Number is 1598738825. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Gary William Lake's facilities are situated?

The facilities of Gary William Lake are physically located at the following address: 437 Barrenwood Dr, Wadsworth, OH, 442811085.

What is Gary William Lake's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gary William Lake's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1598738825 to Gary William Lake?

The Centers for Medicare & Medicaid Services originally issued the 1598738825 to Gary William Lake on 2006-02-08.

As of what date were the details pertaining to Gary William Lake last refreshed?

The information related to the Gary William Lake, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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