IndividualActive
Edward Sedory, ATC, EMT
NPI 1710126685 · Athletic Trainer · Quantico, VA
Provider details
- NPI number
- 1710126685
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, EMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- B061117703 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Emergency Medical Service Providers
Practice location
24164 Montezuma Ave
The Basic School - S3/ Atr
Quantico, VA 22134-5123
Phone: (703) 784-6558
Approximate (ZIP-level) locationGet directions
Mailing address
3713 Alberta Dr
Fredericksburg, VA 22408-7714
Registry dates
- Enumerated
- 2009-02-16
- Last updated
- 2009-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.