Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Edmisten

Individual provider Athletic Trainer · NPI 1619693900

Andrea Edmisten is an Athletic Trainer in Wilmington, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1870 Quaker Way
Wilmington, OH 45177-2473
Phone: (937) 382-6661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1619693900
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address9882 Kendall Rd, Winchester, OH 45697-9640

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