Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN TAVAKOLI
ActiveSUSAN TAVAKOLI is a Athletic Trainer healthcare provider located in FAIRFAX, Virginia. NPI 1134760564 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FAIRFAX, VA
Registration Details
- NPI Number
- 1134760564
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2019 (6.8612781357422 yrs)
- Last Updated
- Oct 7, 2019
- License
-
0202216060 (VA)
Practice Information
- Address
-
3046 MISSION SQUARE DRFAIRFAX, VA, 220311113Browse VA providers · Browse ZIP 22031
- Phone
- 7573344514
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DEBORAH BECK CORBATTO | ATC | 1801861232 |
| MR. JEFFREY GEORGE PERRY | ATC | 1578538856 |
| JACQUELINE MELISSA KAY | ATC | 1073565651 |
| KENNETH KUBERSKI | ATC | 1467488866 |
| CAROLINE TAYLOR | MS, ATC | 1396891503 |
| JOSEPH ALFRED SIERZEGA JR. | MS, VATL, ATC, CSCS | 1972737880 |
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.