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NPI Code Detail

MEDICARE: CHRISTOPHER RANCOURT ATC

MEDICARE: CHRISTOPHER RANCOURT ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAT. 004255OH
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1285017731
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER RANCOURT ATC
Provider Business Mailing Address
First Line : 3000 ARLINGTON AVE BLDG MS 1027
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number : 419-530-5408
Fax Number :
Provider Business Practice Location Address
First Line : 3000 ARLINGTON AVE BLDG MS 1027
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number : 419-530-5408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2015
Last Update Date : 02/09/2026

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Directions to “ CHRISTOPHER RANCOURT ATC” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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