Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNER CACCAVALE, MS, LAT, ATC
ActiveTANNER CACCAVALE, MS, LAT, ATC is a Athletic Trainer healthcare provider located in FREEHOLD, New Jersey. NPI 1538944400 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FREEHOLD, NJ
Registration Details
- NPI Number
- 1538944400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2023 (2.9253618407442 yrs)
- Last Updated
- Aug 29, 2023
- License
-
25MT00319600 (NJ)
Practice Information
- Address
-
210 MOUNTS CORNER DRFREEHOLD, NJ, 077282547Browse NJ providers · Browse ZIP 07728
- Phone
- 7327242433
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FREEHOLD, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. CYNTHIA ANN WETHERELL | A.T.,C. | 1770626822 |
| JOAN SALUSTRO MCCOY | ATC | 1629295688 |
| MR. JEFFREY ALLEN TURNER | A.T.,C | 1861778227 |
| ROBERT EDWARD TAGLE | — | 1134529050 |
| JULIANNE PURVES | LAT, ATC | 1194265678 |
| ALEXANDRA ROQUE | ATC | 1104536663 |
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.