NPI 1467016956

Michele Ferguson, MSLATATC

Practitioner Athletic Trainer Waldorf, MD

Practice location

Address: 3320 Crain Hwy, Waldorf, MD 20603-4850
Phone: (301) 870-7366
Mailing address: 6405 Ocelot St, Waldorf, MD 20603-4414

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Maryland →

Registry record

NPI: 1467016956
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2019
Record last updated: 30 Apr 2019

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.