Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADAM ROBERT PERREAULT, MED, ATC
Active Sole ProprietorADAM ROBERT PERREAULT, MED, ATC is a Athletic Trainer healthcare provider located in PARK CITY, Utah. NPI 1194997437 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PARK CITY, UT
Registration Details
- NPI Number
- 1194997437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2008 (18.342932519642 yrs)
- Last Updated
- Apr 9, 2009
- Licenses
-
001574-1 (NY)7085752-4810 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1500 KEARNS BLVDPARK CITY, UT, 840607226Browse UT providers · Browse ZIP 84060
- Phone
- 4357149044
- Fax
- 4356585241
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in PARK CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MICHAEL B ANDERSON | MS, ATC | 1851368203 |
| MS. NORMA ELIZABETH JOHNSON | MS ATC | 1487830287 |
| NICHOLAS J WILLIAMS | ATC | 1629313465 |
| DAVID QUAMMEN | MSED, ATC, CSCS | 1508313289 |
| MEGAN ELYSE DEVINE | MS, L-ATC | 1841725140 |
| JANET MILLER | — | 1194230722 |
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.