NPI 1104214741

Phil Pavilionis, MSLATATCCSCS

Practitioner Athletic Trainer Reno, NV

Practice location

Address: 395 Booth St, Reno, NV 89509-1318
Phone: (775) 232-4694

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0506045 (NV)

Other Specialist/Technologist providers in Nevada →

Registry record

NPI: 1104214741
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jan 2015
Record last updated: 6 Jan 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.