NPI 1053659250

Mark W Sarault, ATCATL

Practitioner Athletic Trainer Glastonbury, CT

Practice location

Address: 2345 Main St, Glastonbury, CT 06033-2211
Phone: (860) 633-5572
Mailing address: 223 116th Ave NE, Lake Stevens, WA 98258-8628

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A160301117 (WA)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1053659250
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2013
Record last updated: 22 Jan 2013

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.