IndividualActive
Andrew Stull, ATC
NPI 1346519774 · Athletic Trainer · Williston, VT
Provider details
- NPI number
- 1346519774
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 104.0133941 (VT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
28 Park Ave
Williston, VT 05495-9701
Phone: (802) 878-1008
Approximate (ZIP-level) locationGet directions
Mailing address
28 Park Ave
Williston, VT 05495-9701
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2022-02-15
- Certified
- 2022-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.