Quentin Brandon Keasler, MS,ATC/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1518 Issued in TN

Practice address

6041 Stillwater PL
Flowery Branch, GA 30542-5317

Phone

(864) 506-4518

NPI assigned

Jul 11, 2014

Last updated

Jul 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1396151296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 STILLWATER PL",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425317",
            "telephone_number": "864-506-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 STILLWATER PL",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425317",
            "telephone_number": "864-506-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEASLER",
        "first_name": "QUENTIN",
        "middle_name": "BRANDON",
        "credential": "MS,ATC/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "1518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.