Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AARON VANDYNE, LAT
Deactivated Sole ProprietorAARON VANDYNE, LAT is a Athletic Trainer healthcare provider located in PHOENIX, Arizona. NPI 1871138784 is deactivated in the NPPES registry. Verify at CMS.
Athletic Trainer · PHOENIX, AZ
This NPI has been deactivated.
The record was deactivated on September 24, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1871138784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2019 (0.86065573770492 yrs)
- Last Updated
- Dec 29, 2025
- Deactivated
- Sep 24, 2020
- License
-
ATR-009236 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
722 E SACK DRPHOENIX, AZ, 850248232Browse AZ providers · Browse ZIP 85024
- Phone
- 9285335309
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MICHELLE SUSAN VARNELL | ATC | 1033181714 |
| MR. FRANK R NEVILLE | ATC | 1619940145 |
| DR. CHRISTOPHER MENDIAS | PHD, ATC | 1578536447 |
| LINDSEY M LOUGHRAN | MED, ATC | 1245209758 |
| MISS MARILYN JOAN HINTZ | MS, ATC/L, CSCS | 1659316479 |
| JUSTIN DAVID WHITEHOUSE | M.A., ATC | 1730250861 |
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.