Katelyn Maniaci, ATC
Specialist/Technologist, Athletic Trainer in Reston, VA. Individual provider (NPI-1).
NPI number1114335387
StatusActive
Last updated in NPPESJul 31, 2014
Details
- NPI
- 1114335387
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Maniaci
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2014
- Last updated
- Jul 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126002150 | VA | Yes |
Practice location
1860 Town Center Dr Ste 300Town Center Othopaedic Associates
Reston, VA 20190-5900
Phone 703-483-4671
Mailing address
4717 Lafitte CtAlexandria, VA 22312-1612
Phone 810-599-4101
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