Marc Timothy Giampaoli, MA, ATC

Individual provider Active NPI Athletic Trainer · Sutter, CA

NPI 1114792827 · NPPES record last updated Nov 22, 2023

Key facts

NPI
1114792827
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
2665 Acacia Ave.
Sutter, CA 95982-9598
Phone
(530) 822-5161
NPI assigned
Nov 22, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X CA Yes

Addresses

Primary practice location

2665 Acacia Ave.
Sutter, CA 95982-9598

Mailing address

8468 Ranch Rd
Sutter, CA 95982-2370
Phone (530) 701-4338

Other providers in Sutter, CA

All providers in Sutter, CA · Athletic Trainer in California

Sources for this page

Verify at the official NPI Registry.