IndividualActive
Aaron Vandyne, LAT
NPI 1871138784 · Athletic Trainer · Phoenix, AZ
Provider details
- NPI number
- 1871138784
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT
- Sex
- Male
- Sole proprietor
- Yes
- License
- ATR-009236 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
722 E Sack Dr
Phoenix, AZ 85024-8232
Phone: (928) 533-5309
Approximate (ZIP-level) locationGet directions
Mailing address
722 E Sack Dr
Phoenix, AZ 85024-8232
Registry dates
- Enumerated
- 2019-11-14
- Last updated
- 2025-12-29
- Certified
- 2020-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.