NPI 1255475844

Chris T Poulin, ATC

Practitioner Athletic Trainer South Burlington, VT

Practice location

Address: 7 Fayette Dr, South Burlington, VT 05403-6977
Phone: (802) 658-0949
Mailing address: 110 Liberty Ln, Colchester, VT 05446-6039

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 104-0000045 (VT)

Other Specialist/Technologist providers in Vermont →

Registry record

NPI: 1255475844
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 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.