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

Charles Lorell Wenger, ATC

Individual provider Athletic Trainer · NPI 1164066189

Charles Lorell Wenger, ATC is an Athletic Trainer in Broadway, Virginia. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

269 Gobbler Dr
Broadway, VA 22815-9483
Phone: (540) 896-7081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126001212 (VA)

Record details

NPI number1164066189
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 2, 2019
Last updated in NPPESNovember 2, 2019
Mailing address269 Gobbler Dr, Broadway, VA 22815-9483

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