NPI 1023697117

Kody John Scordellis, LATATC

Practitioner Athletic Trainer Spotsylvania, VA

Practice location

Address: 10629 Aspen Highlands Dr, Spotsylvania, VA 22553-4500
Phone: (540) 656-3624

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126003842 (VA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1023697117
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2021
Record last updated: 21 Apr 2023

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.