Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN DAVIS, ATC
Active Sole ProprietorSports Medicine (EM) · NEWINGTON, CT
Registration Details
- NPI Number
- 1164094942
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2021 (4.7784784641578 yrs)
- Last Updated
- Jul 12, 2021
- License
-
000721 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
156 ROSELEAH AVENEWINGTON, CT, 061112055Browse CT providers · Browse ZIP 06111
- Phone
- 8606142122
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.