NPI 1073656294

David Botelho, ATC

Practitioner Athletic Trainer Northfield, VT

Practice location

Address: 158 Harmon Dr Norwich University, Northfield, VT 05663-1000
Phone: (802) 485-2236
Fax: (802) 485-2234
Mailing address: 25 Woods End Dr, Essex Junction, VT 05452-4731

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 104-0000028 (VT)

Other Specialist/Technologist providers in Vermont →

Registry record

NPI: 1073656294
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 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.