Provider Demographics
NPI:1144322454
Name:QUINN, CHAD DOUGLAS (ATC, CSCS)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:DOUGLAS
Last Name:QUINN
Suffix:
Gender:M
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MWR/S-7
Mailing Address - Street 2:USS KITTY HAWK (CV-63)
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96634-2770
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MWR/S-7
Practice Address - Street 2:USS KITTY HAWK (CV-63)
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96634-2770
Practice Address - Country:US
Practice Address - Phone:808-653-5879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer