Individual
IAN CHENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC
Contact information
Practice address
5800 OWNBY DR, DALLAS, TX 75205
(214) 768-6213
Mailing address
5800 OWNBY DR, DALLAS, TX 75205
(214) 768-6213
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT8245
ATHLETIC TRAINER
TX
Enumeration date
04/27/2020
Last updated
02/18/2025
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