Provider Demographics
NPI:1972578482
Name:RIZUTO, TRINA L (ATC)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:L
Last Name:RIZUTO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6154 BROOKWOOD VALLEY CIR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1456
Mailing Address - Country:US
Mailing Address - Phone:404-409-2589
Mailing Address - Fax:
Practice Address - Street 1:6154 BROOKWOOD VALLEY CIR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1456
Practice Address - Country:US
Practice Address - Phone:404-409-2589
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer