IndividualActive
Brandon Desantis, MS, ATC
NPI 1033618475 · Athletic Trainer · Newark, DE
Provider details
- NPI number
- 1033618475
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- J3-0000522 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
631 S College Ave
Newark, DE 19716-2010
Phone: (302) 415-9783
Approximate (ZIP-level) locationGet directions
Mailing address
631 S College Ave
Newark, DE 19716-2010
Registry dates
- Enumerated
- 2018-02-12
- Last updated
- 2018-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.