Individual provider · Type 1 NPI

Gavin Reazor

Student in an Organized Health Care Education/Training Program · Newark, DE

NPI number 1689555674 Active

Practice location

625 S College Ave
Newark, DE 19716-2000

Call (302) 831-2792 Map

Mailing address

7 Stonewall Ln
West Chester, PA 19382-8360

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 1689555674

Gavin Reazor's National Provider Identifier is 1689555674, issued on Sep 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, DE. The record was last updated on Sep 8, 2025.