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

Natalie Kologrivov, LAT, ATC

Individual provider Athletic Trainer · NPI 1790483592

Natalie Kologrivov, LAT, ATC is an Athletic Trainer in Wyckoff, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
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

325 Cedar Hill Ave
Wyckoff, NJ 07481-2312
Phone: (201) 995-3832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1790483592
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 21, 2023
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

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