NPI 1114783149

Robert Samuel Porter

Practitioner Athletic Trainer Auburn, ME

Practice location

Address: 21 Millett Dr, Auburn, ME 04210-4055
Phone: (207) 783-0018
Mailing address: 2 Spring St, Mechanic Falls, ME 04256-6170

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT838 (ME)

Other Specialist/Technologist providers in Maine →

Registry record

NPI: 1114783149
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2024
Record last updated: 27 Feb 2024

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.