Antonio Simone Mannino
Individual provider Active NPI Athletic Trainer · Castleton, VT
NPI 1750155594 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1750155594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 49 University Dr
Castleton, VT 05735-4515 - Phone
- (518) 844-4766
- NPI assigned
- Nov 13, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
49 University Dr
Castleton, VT 05735-4515
Mailing address
219 County Highway 154
Gloversville, NY 12078-6015
Phone (518) 844-4766
Other providers in Castleton, VT
- Jonathan E Mason DMD PC
- Corey Justin Lacz
- Lakes Region Healthcare
- Lesliegrace Property & Development, Inc
- Donald J Maloy
- Natural Beginnings
- Heather Elizabeth Fjeld Nelson
- Kelley Odorisio
- Rebekah Peterson
- Rebecca Anne Roy
All providers in Castleton, VT · Athletic Trainer in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. 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.