NPI 1083001184

Emmanuel Andreoulakis, MSATCLATPES

Practitioner Athletic Trainer Providence, RI

Practice location

Address: 235 Hope St, Providence, RI 02912-9090
Phone: (401) 338-3105
Mailing address: 125 Goff Ave Unit 6101, Pawtucket, RI 02860-9202

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT00329 (RI)

Other Specialist/Technologist providers in Rhode Island →

Registry record

NPI: 1083001184
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2015
Record last updated: 21 Apr 2015

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.