Provider Demographics
NPI:1295007359
Name:ANGELOTTI, BRIAN T (ATC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:T
Last Name:ANGELOTTI
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 495
Mailing Address - Street 2:
Mailing Address - City:CULLOWHEE
Mailing Address - State:NC
Mailing Address - Zip Code:28723-0495
Mailing Address - Country:US
Mailing Address - Phone:828-227-2304
Mailing Address - Fax:828-227-7688
Practice Address - Street 1:92 CATAMOUNT ROAD
Practice Address - Street 2:WESTERN CAROLINA UNIVERSITY
Practice Address - City:CULLOWHEE
Practice Address - State:NC
Practice Address - Zip Code:28723-7240
Practice Address - Country:US
Practice Address - Phone:828-227-2304
Practice Address - Fax:828-227-7688
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer