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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SCOTT PATRIC SULLIVAN, M.H.A.,A.T.C, R.K.T.

Active Sole Proprietor

MR. SCOTT PATRIC SULLIVAN, M.H.A.,A.T.C, R.K.T. is a Athletic Trainer healthcare provider located in LONGMONT, Colorado. NPI 1033496179 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LONGMONT, CO

Registration Details

NPI Number
1033496179
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2011 (14.742733762872 yrs)
Last Updated
Nov 3, 2011
License
609 (CO)
Sole Proprietor
Yes

Practice Information

Address
205 S MAIN ST
SUITE C
LONGMONT, CO, 805011716
Browse CO providers · Browse ZIP 80501
Phone
3036849525
Fax
3037747899
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LONGMONT, CO

Name Credential NPI
MR. CRAIG MARSHALL KRAGER ATC 1083839872
KEVIN MAYEDA A.T.,C. 1205053592
MRS. LISA G LEAR MA, ATC 1558570440
KILEY STAVNES 1548663768
ANDREW GODINEZ MS, LAT, ATC 1174920276
RICHARD FOSTER MS, ATC 1861880676
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.