Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeremy Ryan Braziel, ATC

Individual provider Athletic Trainer · NPI 1528344397

Mr. Jeremy Ryan Braziel, ATC is an Athletic Trainer in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2011
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

201 W Van Asche Loop
Fayetteville, AR 72703-4974
Phone: (479) 966-4491
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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 AT396 (AR)

Record details

NPI number1528344397
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedOctober 25, 2011
Last updated in NPPESJune 6, 2016

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