NPI 1366741126

Robert Henry Brainerd, LATCCSCS

Practitioner Athletic Trainer Auburn, ME

Practice location

Address: 30 Belgrade Ave Suite a, Auburn, ME 04210-4095
Phone: (207) 783-0018
Fax: (207) 783-0019
Mailing address: 13 Saint Tekakwitha Dr, Lewiston, ME 04240-2456

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT65 (ME)

Other Specialist/Technologist providers in Maine →

Registry record

NPI: 1366741126
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2011
Record last updated: 19 Mar 2011

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.