Individual
BRENDAN AHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
799 N HEWITT RD, YPSILANTI, MI 48197-1701
(734) 487-5183
Mailing address
3312 BRENNER RD, BARBERTON, OH 44203-6414
(330) 328-7365
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002311
MI
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/19/2016
Last updated
02/24/2021
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