Individual
MISS CHASELYN MARIE TRENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
20347 TIMBERLAKE RD STE B, LYNCHBURG, VA 24502-7352
(434) 845-9054
Mailing address
1009 MISTY MOUNTAIN RD APT 1619, LYNCHBURG, VA 24502-5276
(703) 304-6507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003350
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126003350
LICENSED ATHLETIC TRAINER (LAT)
VA
01
—
1639630502
CERTIFIED ATHLETIC TRAINER (ATC)
—
Enumeration date
03/25/2019
Last updated
11/27/2023
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