Provider Demographics
NPI:1417736059
Name:CRITCHER, ADINA E (MS, ACSM-CEP, CCRP)
Entity Type:Individual
Prefix:
First Name:ADINA
Middle Name:E
Last Name:CRITCHER
Suffix:
Gender:F
Credentials:MS, ACSM-CEP, CCRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 WATERCRAFT FERRY AVE UNIT 206
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-6270
Mailing Address - Country:US
Mailing Address - Phone:828-964-0428
Mailing Address - Fax:
Practice Address - Street 1:4005 WATERCRAFT FERRY AVE UNIT 206
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-6270
Practice Address - Country:US
Practice Address - Phone:828-964-0428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist