National Provider Identifier

Mandi Jean Breigle, ATC

Mandi Jean Breigle, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 255-4237.

NPI 1518234277Ithaca, NYAthletic Trainer

Profile Overview

NPI
1518234277
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
November 23, 2011
Last Updated
November 23, 2011

Practice Location

  • 512 Campus Road
  • Teagle Hall
  • Ithaca, NY 14853

Phone: (607) 255-4237

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1518234277
Entity Type
Individual
Last Name
Breigle
First Name
Mandi
Middle Name
Jean
Name Prefix
Mrs.
Credential
ATC
Mailing Street Address
512 Campus Road
Mailing Address Line 2
Teagle Hall
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14853
Mailing Country
US
Mailing Phone
(607) 255-4237
Practice Street Address
512 Campus Road
Practice Address Line 2
Teagle Hall
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14853
Practice Country
US
Practice Phone
(607) 255-4237
Enumeration Date
November 23, 2011
Last Updated
November 23, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)