Individual provider · Type 1 NPI

Sophia Diane Bellavista, LAT, ATC

Athletic Trainer · Ponte Vedra Beach, FL

NPI number 1760973572 Active

Practice location

100 Executive Way Ste 109
Ponte Vedra Beach, FL 32082-2713

Mailing address

43 Primrose Ln
Palm Coast, FL 32164-7416

Specialties and licenses

TaxonomyCodeLicense
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 1760973572

Sophia Diane Bellavista, LAT, ATC's National Provider Identifier is 1760973572, issued on May 29, 2018. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on May 29, 2018.