Zachary Victor Royer
Individual provider Active NPI Athletic Trainer · Brownington, VT
NPI 1336760073 · NPPES record last updated May 5, 2020
Key facts
- NPI
- 1336760073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 117 Baxter LN
Brownington, VT 05860-9589 - Phone
- (802) 673-2906
- NPI assigned
- May 5, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
117 Baxter LN
Brownington, VT 05860-9589
Mailing address
117 Baxter LN
Brownington, VT 05860-9589
Phone (802) 673-2906
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2020. 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.