IndividualActive
Andrea Bagnall, ATC
NPI 1649625310 · Athletic Trainer · Thatcher, AZ
Provider details
- NPI number
- 1649625310
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 0248 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2934 W Palo Verde St
Thatcher, AZ 85552
Phone: (928) 651-4245
Fax: (928) 428-2378
Approximate (ZIP-level) locationGet directions
Mailing address
2934 W Palo Verde St
Thatcher, AZ 85552-5336
Registry dates
- Enumerated
- 2016-04-29
- Last updated
- 2016-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.