Individual provider · Type 1 NPI

Stacey Ellis

Athletic Trainer · Manassas, VA

NPI number 1669438073 Active

Practice location

9005 Tudor Ln
Manassas, VA 20110-5754

Mailing address

110 Township Ct
Stephens City, VA 22655-2962

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X0126000571 (VA)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1669438073

Stacey Ellis's National Provider Identifier is 1669438073, issued on Apr 25, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Manassas, VA. The record was last updated on Jul 13, 2026.