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

Shannon Vavalle, ATC, CES, OTC

Individual provider Athletic Trainer · NPI 1801657309

Shannon Vavalle, ATC, CES, OTC is an Athletic Trainer in Vestal, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
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

4433 Vestal Pkwy E
Vestal, NY 13850-3556
Phone: (607) 771-2220
Fax: (607) 251-2635
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 020802088 (NY)

Record details

NPI number1801657309
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , CES , OTC
Sole proprietorYes
NPI enumeratedJanuary 22, 2024
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

Other providers in Vestal