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

Raven Symone Vega

Individual provider Athletic Trainer · NPI 1043952500

Raven Symone Vega is an Athletic Trainer in Louisville, Kentucky. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

215 Central Ave Ste 201
Louisville, KY 40208-1451
Phone: (502) 637-7678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1043952500
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2022
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

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