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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609330315

Siobhan Grace Cunningham, LAT, ATC is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
Specialties on file
2
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

825 Green Valley Dr
Philadelphia, PA 19128-1010
Phone: (215) 279-2863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1609330315
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedJanuary 27, 2019
Last updated in NPPESJanuary 8, 2022
Certification dateJanuary 8, 2022

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