MEDICARE: MR. HUNTER SARRO MAT, LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	2000058351	VT

General Provider Information

NPI Number	:	1124902366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HUNTER SARRO MAT, LAT, ATC

Provider Business Mailing Address
First Line	:	PO BOX 5
Second Line	:
City	:	WALLINGFORD
State	:	VT
Zip	:	05773-0005
Country	:	US
Telephone Number	:	508-838-7859
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 WINDCREST RD
Second Line	:
City	:	NORTH CLARENDON
State	:	VT
Zip	:	05759-9533
Country	:	US
Telephone Number	:	508-838-7859
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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