NPI 1134983042

Noah Charleston, LATATC

Practitioner Athletic Trainer Fairfield, CT

Practice location

Address: 305 Black Rock Tpke, Fairfield, CT 06825-5508
Phone: (203) 337-2600
Mailing address: 145 Williams Rd, Trumbull, CT 06611-4353

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 54.001369 (CT)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1134983042
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2024
Record last updated: 12 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.