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

Mr. Robert Fennell, ATC, MS

Individual provider Athletic Trainer · NPI 1023285863

Mr. Robert Fennell, ATC, MS is an Athletic Trainer in Atherton, California. Licensed in California and Illinois. Registered with an NPI since 2008.

Licensed in
CA, IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

150 Valparaiso Ave
Atherton, CA 94027-4402
Phone: (650) 473-4035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)
Athletic Trainer Taxonomy 2255A2300X · Licence 096.002601 (IL)

Record details

NPI number1023285863
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , MS
Sole proprietorNo
NPI enumeratedMay 12, 2008
Last updated in NPPESDecember 15, 2016

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