NPI 1033529177

Jillanna Simon, LATATCPES

Practitioner Athletic Trainer West Marlboro, VT

Practice location

Address: 2230 Higley Hill Rd, West Marlboro, VT 05363-9512
Phone: (802) 258-7806

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 104.0081190 (VT)

Other Specialist/Technologist providers in Vermont →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT005522 (PA)

Registry record

NPI: 1033529177
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2014
Record last updated: 29 Apr 2014

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.