NPI 1164825543

Megan Bosworth, MAATC

Practitioner Athletic Trainer West Hartford, CT

Practice location

Address: 200 Bloomfield Ave, West Hartford, CT 06117-1545
Phone: (860) 768-5048

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000597 (CT)

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Registry record

NPI: 1164825543
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2014
Record last updated: 30 Sep 2014

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.