IndividualActive
Evita Sandoval, ATC
NPI 1679706360 · Athletic Trainer · Lyndonville, VT
Provider details
- NPI number
- 1679706360
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 104-0000163 (VT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
569 Main Street
Lyndonville, VT 05851
Phone: (802) 626-4224
Fax: (802) 626-5042
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1346
Lyndonville, VT 05851
Registry dates
- Enumerated
- 2009-08-27
- Last updated
- 2016-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.