Yetbarek Fekadu
Individual provider Active NPI Athletic Trainer · Bridgewater, VA
NPI 1013481738 · NPPES record last updated Jan 15, 2019
Key facts
- NPI
- 1013481738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 402 E College St
Bridgewater, VA 22812-1599 - Phone
- (540) 828-8000
- NPI assigned
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
402 E College St
Bridgewater, VA 22812-1599
Mailing address
1359 Taylor Grove LN Unit 2
Rockingham, VA 22801-2599
Phone (703) 624-7722
Other providers in Bridgewater, VA
- Leanne Elizabeth Dolan
- Kenya Earnessa Donovan
- Barbara Dotson-Brooner
- Thomas Christopher Draper
- Dorothy Marie Easter
- Heather Abbe Fincham
- Daniel Travante Flowe
- Tara C Fulk
- V. Philip Gainsback
- Frank Garbato
All providers in Bridgewater, VA · Athletic Trainer in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.