NPI 1447458799
Jeremy Marra, ATCCSCS
Practice location
- Address
- 60 Averyville Ln, Lake Placid, NY 12946-3002
- Phone
- (734) 502-6031
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1447458799
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Jul 2007
- Record last updated
- 2 Dec 2022
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.