NPI 1104209139

Alexander Soule-Regine

Practitioner Athletic Trainer Burlington, VT

Practice location

Address: 60 Austin Dr APT 2, Burlington, VT 05401-5413
Phone: (978) 846-7097

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 104.0112823 (VT)

Other Specialist/Technologist providers in Vermont →

Registry record

NPI: 1104209139
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2015
Record last updated: 8 Jul 2015

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.