GLENN EDGERTON EDD, LAT
NPI 1083149231
Specialist/Technologist - Athletic Trainer in Flagstaff, AZ

Active since April 25, 2017
1705 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001(928) 523-6837 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenn Edgerton Edd, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN EDGERTON EDD, LAT (NPI 1083149231) is an individual athletic trainer provider in Flagstaff, Arizona, licensed in Arizona (1079) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1083149231
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameGLENN EDGERTONCredential: EDD, LAT
Location Address1705 N SAN FRANCISCO STFlagstaff, AZ 86001-1348
Mailing AddressPo Box 15094Flagstaff, AZ 86011-0543 · (928) 523-6837
Sole ProprietorYes
Enumeration DateApril 25, 2017
NPI 1083149231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in AZ · 1079
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1705 N SAN FRANCISCO ST, Flagstaff, AZ 86001

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
1705 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Student in an Organized Health Care Education/Training Program
1705 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Counselor (Mental Health)
1705 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001
Counselor (Mental Health)
1705 N SAN FRANCISCO ST
FLAGSTAFF, AZ 86001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Edgerton's NPI number?

The NPI number for Glenn Edgerton is 1083149231. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Glenn Edgerton located?

Glenn Edgerton practices at 1705 N San Francisco St, Flagstaff, AZ 86001. The listed phone number is (928) 523-6837.

What is Glenn Edgerton's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Glenn Edgerton was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.