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

Mrs. Lisa Tam Petruzzi, ATC, VATL

Individual provider Athletic Trainer · NPI 1699126474

Mrs. Lisa Tam Petruzzi, ATC, VATL is an Athletic Trainer in Herndon, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016
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

700 Bennett St
Herndon, VA 20170-3104
Phone: (703) 810-2327
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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 0126000069 (VA)

Record details

NPI number1699126474
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , VATL
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESJune 23, 2016

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