Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA TAM PETRUZZI, ATC, VATL
ActiveMRS. LISA TAM PETRUZZI, ATC, VATL is a Athletic Trainer healthcare provider located in HERNDON, Virginia. NPI 1699126474 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HERNDON, VA
Registration Details
- NPI Number
- 1699126474
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2016 (10.102866682289 yrs)
- Last Updated
- Jun 23, 2016
- License
-
0126000069 (VA)
Practice Information
- Address
-
700 BENNETT STHERNDON, VA, 201703104Browse VA providers · Browse ZIP 20170
- Phone
- 7038102327
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in HERNDON, VA
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN ANDREW PETZ | ATC | 1578557856 |
| AMY MICHELLE SHEEDFAR | ATC | 1831375419 |
| 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.