NPI 1053456319

Mark Steven Levesque, MSATCCSCS

Practitioner Athletic Trainer North Smithfield, RI

Practice location

Address: 26 Old Pound Hill Rd, North Smithfield, RI 02896-9589
Phone: (401) 766-0849

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 41 (RI)

Other Specialist/Technologist providers in Rhode Island →

Registry record

NPI: 1053456319
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2007
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.