Individual
ASHLEE REVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT,ATC
Contact information
Practice address
3455 AIRFRAME DR, NORTH CHARLESTON, SC 29418-6953
(843) 709-1712
Mailing address
8948 N RED MAPLE CIR, SUMMERVILLE, SC 29485-9016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1881
SC
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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