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

Individual provider Athletic Trainer · NPI 1144637620

Takeo Ichiyanagi, MS, ATC is an Athletic Trainer in Irmo, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2014
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

6 Yearling Ct
Irmo, SC 29063-2939
Phone: (803) 556-1089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (SC)

Record details

NPI number1144637620
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC
Sole proprietorYes
NPI enumeratedJuly 17, 2014
Last updated in NPPESJuly 17, 2014

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