NPI 1881114619

A Vivid Age LLC

Organisation Athletic Trainer Washington, DC

Practice location

Address: 2716 29th St SE APT B196, Washington, DC 20020-3170
Phone: (202) 425-4137

Authorised official

Name: Viviana Scott
Title: Owner
Phone: (202) 425-4137

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in District of Columbia →

Registry record

NPI: 1881114619
Entity type: Organization
NPI issued: 22 Jun 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.