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

Kyle Andre St Peter, LAT, ATC

Individual provider Athletic Trainer · NPI 1497122881

Kyle Andre St Peter, LAT, ATC is an Athletic Trainer in Fairfax, Virginia. Licensed in Michigan and Virginia. Registered with an NPI since 2015.

Licensed in
MI, VA
In the registry since
2015
Specialties on file
3
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

4400 University Dr MS 3A5
Fairfax, VA 22030
Phone: (703) 993-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126003666 (VA)
Athletic Trainer Taxonomy 2255A2300X · Licence 2601001718 (MI)
Basic Emergency Medical Technician Taxonomy 146N00000X · Licence 3203056420 (MI)

Record details

NPI number1497122881
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedSeptember 1, 2015
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address11318 Westbrook Mill Ln Unit 103, Fairfax, VA 22030-5665

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