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

Mr. Scott Patric Sullivan, MHA, ATC, RKT

Individual provider Athletic Trainer · NPI 1033496179

Mr. Scott Patric Sullivan, MHA, ATC, RKT is an Athletic Trainer in Longmont, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2011
What do these letters mean?
MHA — Master of Health Administration
A graduate degree in health management.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

205 S Main St Ste C
Longmont, CO 80501-1716
Phone: (303) 684-9525
Fax: (303) 774-7899
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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 609 (CO)

Record details

NPI number1033496179
Entity typeIndividual (Type 1)
GenderMale
Credentials MHA , ATC , RKT
Sole proprietorYes
NPI enumeratedNovember 3, 2011
Last updated in NPPESNovember 3, 2011

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