Individual provider · Type 1 NPI

Kelsey Rae Tanler

Student in an Organized Health Care Education/Training Program · Ashburn, VA

NPI number 1154826212 Active

Practice location

20415 Tilberg St
Ashburn, VA 20147-7402

Call (703) 400-0962 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154826212

Kelsey Rae Tanler's National Provider Identifier is 1154826212, issued on Mar 29, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ashburn, VA. The record was last updated on Mar 29, 2018.