Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Harley Ann-Renee Tisdale

Individual provider Athletic Trainer · NPI 1114637931

Harley Ann-Renee Tisdale is an Athletic Trainer in Summerville, South Carolina. Registered with an NPI since 2022.

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

126 Spring Meadows Dr
Summerville, SC 29485-8792
Phone: (843) 906-6449
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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 number1114637931
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2022
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

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