IndividualActive
Brandon Porter, ATC
NPI 1760174965 · Athletic Trainer · Phoenix, AZ
Provider details
- NPI number
- 1760174965
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2939 N 36th St Apt 211
Phoenix, AZ 85018-7460
Phone: (815) 412-0239
Approximate (ZIP-level) locationGet directions
Mailing address
2939 N 36th St Apt 211
Phoenix, AZ 85018-7460
Registry dates
- Enumerated
- 2023-05-24
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.