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

GARRETT VANDERSAUL, ATC

Active Sole Proprietor

GARRETT VANDERSAUL, ATC is a Athletic Trainer healthcare provider located in COLUMBIA CITY, Indiana. NPI 1497202451 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · COLUMBIA CITY, IN

Registration Details

NPI Number
1497202451
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2016 (9.9278806915076 yrs)
Last Updated
Mar 1, 2022
License
36002971A (IN)
Sole Proprietor
Yes

Practice Information

Address
204 BROWNWOOD AVE
COLUMBIA CITY, IN, 467251702
Browse IN providers · Browse ZIP 46725
Phone
2602297157
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in COLUMBIA CITY, IN

Name Credential NPI
TIM LEI ATC 1144693797
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.