MR. BRANDON ELLENWOOD, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1578300703
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 127245 (IA) |
Frequently Asked Questions
NPI 1578300703 is the National Provider Identifier for MR. BRANDON ELLENWOOD, ATC, a Specialist/Technologist - Athletic Trainer provider located in Council Bluffs, IA. This NPI was enumerated on July 15, 2024.
MR. BRANDON ELLENWOOD, ATC practices at 3504 HARRY LANGDON BLVD, Council Bluffs, IA 51503.
Quick Facts
- NPI
- 1578300703
- Type
- Individual
- Enumerated
- Jul 15, 2024
- Last Updated
- Jul 15, 2024
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