IndividualActive
Anthony Vidali, LAT, ATC
NPI 1336513241 · Athletic Trainer · Dover, DE
Provider details
- NPI number
- 1336513241
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
109 Cedar Ln
Camden, DE 19934-1306
Registry dates
- Enumerated
- 2015-11-17
- Last updated
- 2016-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.