Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Davidson Cielo Canaveral, ATC

Individual provider Athletic Trainer · NPI 1093495301

Davidson Cielo Canaveral, ATC is an Athletic Trainer in Henderson, Nevada. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

5880 Boulder Falls St Apt 2181
Henderson, NV 89011-4971
Phone: (808) 687-0196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1093495301
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 20, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

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