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

Individual provider Athletic Trainer · NPI 1629586003

Mr. Wadson Petithomme, ATC is an Athletic Trainer in Charlottesville, Virginia. Works from 2 locations. Licensed in Connecticut.

Licensed in
CT
In the registry since
2018
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

290 Massie Rd
Charlottesville, VA 22903-1767
Phone: (203) 726-0835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5151 Park Ave, Fairfield, CT 06825-1090 — (203) 371-7999

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629586003
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 19, 2018
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020

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