EVAN BUCKLEY
NPI 1699349787
Specialist/Technologist - Athletic Trainer in Santa Rosa, CA

Active since May 13, 2021
703 LIANA DR, SANTA ROSA, CA 95407(650) 554-0355 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evan Buckley NPPES

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

EVAN BUCKLEY (NPI 1699349787) is an individual athletic trainer provider in Santa Rosa, California and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1699349787
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameEVAN BUCKLEY
Location Address703 LIANA DRSanta Rosa, CA 95407-7434
Mailing Address703 Liana DrSanta Rosa, CA 95407-7434 · (650) 554-0355
Sole ProprietorNo
Enumeration DateMay 13, 2021
NPPES CertifiedMay 13, 2021
NPI 1699349787 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
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.
703 LIANA DR, Santa Rosa, CA 95407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Buckley's NPI number?

The NPI number for Evan Buckley is 1699349787. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Evan Buckley located?

Evan Buckley practices at 703 Liana Dr, Santa Rosa, CA 95407. The listed phone number is (650) 554-0355.

What is Evan Buckley's specialty?

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

When was this NPI record last updated?

The NPPES record for Evan Buckley was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.