IndividualActive
Emmanuel Andreoulakis, M.S., ATC/LAT, PES
NPI 1083001184 · Athletic Trainer · Providence, RI
Provider details
- NPI number
- 1083001184
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.S., ATC/LAT, PES
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT00329 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
235 Hope St
Providence, RI 02912-9090
Phone: (401) 338-3105
Approximate (ZIP-level) locationGet directions
Mailing address
125 Goff Ave Unit 6101
Pawtucket, RI 02860-9202
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2015-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.