NPI 1114335387

Katelyn Maniaci, ATC

Practitioner Athletic Trainer Reston, VA

Practice location

Address: 1860 Town Center Dr STE 300 Town Center Othopaedic Associates, Reston, VA 20190-5900
Phone: (703) 483-4671
Mailing address: 4717 Lafitte CT, Alexandria, VA 22312-1612

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126002150 (VA)

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1114335387
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2014
Record last updated: 31 Jul 2014

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.