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

Takao Iwano

Individual provider Athletic Trainer · NPI 1497108401

Takao Iwano is an Athletic Trainer in Thomasville, Georgia. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016

Practice location Address checks out

1550 Magnolia St
Thomasville, GA 31792-7236
Phone: (660) 864-6124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1956 (SC)

Record details

NPI number1497108401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESDecember 28, 2018
Mailing address1550 Magnolia St, Thomasville, GA 31792-7236

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