Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN ANDREW PETZ, ATC
ActiveMR. BRIAN ANDREW PETZ, ATC is a Athletic Trainer healthcare provider located in HERNDON, Virginia. NPI 1578557856 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HERNDON, VA
Registration Details
- NPI Number
- 1578557856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2005 (20.922643123355 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0126000718 (VA)
Practice Information
- Address
-
13039 WORLDGATE DRHERNDON, VA, 201704374Browse VA providers · Browse ZIP 20170
- Phone
- 7037428758
- Fax
- 7037428952
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HERNDON, VA
| Name | Credential | NPI |
|---|---|---|
| AMY MICHELLE SHEEDFAR | ATC | 1831375419 |
| MRS. LISA TAM PETRUZZI | ATC, VATL | 1699126474 |
| MARLEIGH HALL | LAT | 1376255836 |
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.