NPI 1669499091

Paul G Rupp, ATC

Practitioner Athletic Trainer Vienna, VA

Practice location

Address: 2900 Sutton Rd, Vienna, VA 22181-6109
Phone: (703) 319-2833
Fax: (703) 319-2713
Mailing address: 11044 Granby CT, Reston, VA 20191-5021

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126000151 (VA)

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1669499091
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2006
Record last updated: 8 Jul 2007

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.