Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LIDA THANARAK PITSCH, ATC, PTA
Active Sole ProprietorLIDA THANARAK PITSCH, ATC, PTA is a Athletic Trainer healthcare provider located in ASHBURN, Virginia. NPI 1245577196 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ASHBURN, VA
Registration Details
- NPI Number
- 1245577196
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2013 (13.544803634644 yrs)
- Last Updated
- Nov 30, 2014
- Licenses
-
2306601644 (VA)0126000614 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
42012 DONNINGTON PLASHBURN, VA, 201488011Browse VA providers · Browse ZIP 20148
- Phone
- 7035937966
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in ASHBURN, VA
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN FITZGERALD BURRELL | ATC | 1942337779 |
| ERIC STEVEN STEWARD | ATC | 1275662330 |
| MR. LAWRENCE WILLIAM HESS | MPT, ATC, CSCS | 1073633855 |
| KIMBERLY CORONEL | MS, ATC | 1013162353 |
| MR. KYLE ROSS BLACKMAN | ATC | 1598008112 |
| ELI BISNETT-COBB | MS, ATC | 1336583038 |
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.