NPI 1053993493

Michelle Moreau, MSATCLAT

Practitioner Athletic Trainer St Marys City, MD

Practice location

Address: 18952 E Fisher Rd, St Marys City, MD 20686
Phone: (240) 895-4417
Fax: (240) 895-4480
Mailing address: 271 Forest Hills Dr, Luray, VA 22835-9106

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence A0001004 (MD)

Other Specialist/Technologist providers in Maryland →

Registry record

NPI: 1053993493
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2021
Record last updated: 26 Apr 2021

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.