IndividualActive
Irving Mims, CPT
NPI 1649876897 · Athletic Trainer · Newark, DE
Provider details
- NPI number
- 1649876897
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPT
- Sex
- Male
- Sole proprietor
- No
- License
- 1818500
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
812 Pencader Dr Unit B
Newark, DE 19702-3365
Phone: (302) 533-5616
Approximate (ZIP-level) locationGet directions
Mailing address
812 Pencader Dr Unit B
Newark, DE 19702-3365
Registry dates
- Enumerated
- 2020-12-11
- Last updated
- 2020-12-11
- Certified
- 2020-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.