NPI 1134241821

Mark Louis Ayotte, ATC

Practitioner Athletic Trainer Fairfield, CT

Practice location

Address: Fairfield University 1073 North Benson Road, Fairfield, CT 06824-5171
Phone: (203) 395-6482
Mailing address: 54 Tait Rd, Trumbull, CT 06611-3844

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000113 (CT)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1134241821
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 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.