NPI 1194221747

Melissa Walker, ATCCES

Practitioner Athletic Trainer Fairfield, CT

Practice location

Address: 5151 Park Ave, Fairfield, CT 06825-1090
Phone: (203) 396-8179
Mailing address: 5151 Park Ave, Fairfield, CT 06825-1000

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 001128 (CT)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1194221747
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2018
Record last updated: 3 Apr 2018

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.