NPI 1013012590

Steven Mark Cannata, MSATCLAT

Practitioner Athletic Trainer West Hartford, CT

Practice location

Address: 170 Kingswood Rd, West Hartford, CT 06119-1430
Phone: (860) 233-3500
Fax: (860) 232-2095
Mailing address: 29 Rivendell Rd, Marlborough, CT 06447-1260

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000065 (CT)

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Registry record

NPI: 1013012590
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.