NPI 1366554818

Garrett Paul Degroot, ATC

Practitioner Athletic Trainer Kingston, RI

Practice location

Address: 3 Keaney Road Suite One, Kingston, RI 02881
Phone: (401) 874-9065
Mailing address: PO Box 38, West Kingston, RI 02892-0038

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT00211 (RI)

Other Specialist/Technologist providers in Rhode Island →

Registry record

NPI: 1366554818
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
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.