Provider Demographics
NPI:1215996947
Name:FLAVELL, ANDREW P (ATC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:P
Last Name:FLAVELL
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 1:923 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-5931
Mailing Address - Country:US
Mailing Address - Phone:434-223-6257
Mailing Address - Fax:
Practice Address - Street 1:923 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-5931
Practice Address - Country:US
Practice Address - Phone:434-223-6257
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer