Search › South Carolina › Athletic Trainer
Takeo Ichiyanagi, MS, ATC
NPI 1144637620 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6 Yearling Ct
Irmo, SC 29063 - Phone
- (803) 556-1089
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina