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

Glenn Edgerton, EDD, LAT

Individual provider Athletic Trainer · NPI 1083149231

Glenn Edgerton, EDD, LAT is an Athletic Trainer in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1705 N San Francisco St
Flagstaff, AZ 86001-1348
Phone: (928) 523-6837
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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 1079 (AZ)

Record details

NPI number1083149231
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD , LAT
Sole proprietorYes
NPI enumeratedApril 25, 2017
Last updated in NPPESApril 25, 2017

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