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

Derek Raynes, MS, ATC, PES, CFCE

Individual provider Athletic Trainer · NPI 1770035594

Derek Raynes, MS, ATC, PES, CFCE is an Athletic Trainer in Charleston, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5510 Maccorkle Ave SE
Charleston, WV 25304-2320
Phone: (304) 720-5433
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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 AT001306 (WV)

Record details

NPI number1770035594
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , PES , CFCE
Sole proprietorYes
NPI enumeratedOctober 27, 2016
Last updated in NPPESOctober 27, 2016

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