NPI 1235101775

Brian L Fairbrother, MSATCCSCS

Practitioner Athletic Trainer Hartford, CT

Practice location

Address: 1 Civic Center Plz, Hartford, CT 06103-1504
Phone: (860) 967-0478

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000388 (CT)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1235101775
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2006
Record last updated: 8 Jan 2015

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.