Alex Yenchus
Individual provider Active NPI Athletic Trainer · Wickliffe, OH
NPI 1194223339 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1194223339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 886 Bryn Mawr Ave
Wickliffe, OH 44092-2118 - Phone
- (440) 666-1545
- NPI assigned
- Jan 23, 2018
- Sex
- Male
- Sole proprietor
- Yes
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
886 Bryn Mawr Ave
Wickliffe, OH 44092-2118
Mailing address
886 Bryn Mawr Ave
Wickliffe, OH 44092-2118
Phone (440) 666-1545
Other providers in Wickliffe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.