Provider Demographics
NPI:1689887754
Name:RANKIN, CHAD ANDREW (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:CHAD
Middle Name:ANDREW
Last Name:RANKIN
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6175 OLEAN TRL
Mailing Address - Street 2:
Mailing Address - City:NEW BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:16242-5011
Mailing Address - Country:US
Mailing Address - Phone:814-275-3168
Mailing Address - Fax:814-473-8201
Practice Address - Street 1:18 SPORTSMAN DR
Practice Address - Street 2:SUITE 10
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-8572
Practice Address - Country:US
Practice Address - Phone:814-226-1355
Practice Address - Fax:814-226-1240
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PART0034162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer