Individual
ANDREW CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5846 STATE ROUTE 134, LYNCHBURG, OH 45142-9712
(937) 403-8684
Mailing address
5846 STATE ROUTE 134, LYNCHBURG, OH 45142-9712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2016
Last updated
07/26/2016
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