IndividualActive
Adam Perreault, MED, ATC
NPI 1194997437 · Athletic Trainer · Park City, UT
Provider details
- NPI number
- 1194997437
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MED, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001574-1 (NY)
Practice location
1500 Kearns Blvd
Park City, UT 84060-7226
Phone: (435) 714-9044
Fax: (435) 658-5241
Mailing address
Po Box 680751
Park City, UT 84068-0751
Registry dates
- Enumerated
- 2008-03-27
- Last updated
- 2009-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.