Individual provider · Type 1 NPI

Jacqueline Vanessa Randolph Perdomo

Athletic Trainer · Woodbridge, VA

NPI number 1730030859 Active

Practice location

3221 Bluff View Ct Apt 204
Woodbridge, VA 22192-1763

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X0019019815 (VA)
Athletic Trainer Primary 2255A2300XNone listed

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 1730030859

Jacqueline Vanessa Randolph Perdomo's National Provider Identifier is 1730030859, issued on Feb 5, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Woodbridge, VA. The record was last updated on Feb 5, 2026.