NPI 1295897833

Michael R. Derosier, ATC

Practitioner Athletic Trainer Hanover, NH

Practice location

Address: Dartmouth College Alumni Gymnasium, Hb 6083, Hanover, NH 03755
Phone: (603) 646-9772
Fax: (603) 646-9941
Mailing address: 1892 Christian St, White River Junction, VT 05001-5402

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0360 (NH)

Other Specialist/Technologist providers in New Hampshire →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00060500 (NJ)

Registry record

NPI: 1295897833
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2006
Record last updated: 20 May 2009

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.