SHANNON VAVALLE ATC, CES, OTC
NPI 1801657309
Specialist/Technologist - Athletic Trainer in Vestal, NY

Q: What is Shannon Vavalle's NPI number?

The NPI number for Shannon Vavalle is 1801657309. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Q: What is Shannon Vavalle'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 Shannon Vavalle was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 22, 2024

4433 VESTAL PKWY E, VESTAL, NY 13850(607) 771-2220(607) 251-2635 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shannon Vavalle Atc, Ces, Otc NPPES

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

SHANNON VAVALLE ATC, CES, OTC (NPI 1801657309) is an individual athletic trainer provider in Vestal, New York, licensed in New York (020802088) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1801657309

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameSHANNON VAVALLECredential: ATC, CES, OTC

Location Address4433 VESTAL PKWY EVestal, NY 13850-3556

Mailing Address4433 Vestal Pkwy EVestal, NY 13850-3556 · (607) 771-2220 · Fax (607) 251-2635

Phone(607) 771-2220

Fax(607) 251-2635

Sole ProprietorYes

Enumeration DateJanuary 22, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1801657309 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 NY · 020802088

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.

4433 VESTAL PKWY E, Vestal, NY 13850

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