Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVAN SANDERS
NPI 1417861964
Specialist/Technologist - Athletic Trainer in Columbia, MO

Q: What is Evan Sanders's NPI number?

The NPI number for Evan Sanders is 1417861964. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Q: What is Evan Sanders's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Evan Sanders was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 01, 2026

3301 BERRYWOOD DR STE 204, COLUMBIA, MO 65201(573) 449-8771 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Evan Sanders NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN SANDERS (NPI 1417861964) is an individual athletic trainer provider in Columbia, Missouri, licensed in Missouri (2025033886) and active in the NPI registry since October 2026. He maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1417861964

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameEVAN SANDERS

Location Address3301 BERRYWOOD DR STE 204Columbia, MO 65201-6517

Mailing Address3301 Berrywood Dr Ste 204Columbia, MO 65201-6517 · (573) 449-8771

Phone(573) 449-8771

Sole ProprietorYes

Enumeration DateOctober 1, 2026

NPPES CertifiedOctober 1, 2026

✔ NPI 1417861964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MO · 2025033886

Definition

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 advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

3301 BERRYWOOD DR STE 204, Columbia, MO 65201

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Secondary Practice Location 1

Location 11104 N Providence RdColumbia, MO 65203-4398 · Phone (573) 214-3000

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESLEY GLENN

Physical Therapist

3301 BERRYWOOD DR STE 204, #204
COLUMBIA, MO 65201

Boone County (573) 449-8771

KEARSTA COURIER

Physical Therapist