Kelsey Cirrito
Individual provider Active NPI Athletic Trainer · Manassas Park, VA
NPI 1144720897 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1144720897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 9254 Matthew Dr
Manassas Park, VA 20111-2445 - Phone
- (571) 438-8480
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
9254 Matthew Dr
Manassas Park, VA 20111-2445
Mailing address
701 Hiddenlake CT
Browns Summit, NC 27214-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YTC8250M68134 | Other | ANTHEM |
Other providers in Manassas Park, VA
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- Ansly Ivania Chavarria
- Xenia Vanessa Chirinos Corrales
- Katherine Mary Christian
- City of Manassas Park Fire & Rescue Dept.
- James Lee Cocklin
- Tia S Coleman
- Brandon Corry
- Hiwot Daniel
All providers in Manassas Park, VA · Athletic Trainer in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.