Whalio Doctors

NPI 1447458799

Jeremy Marra, ATCCSCS

Practitioner Athletic Trainer Lake Placid, NY

Practice location

Address
60 Averyville Ln, Lake Placid, NY 12946-3002
Phone
(734) 502-6031

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2601000082 (MI)

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.