NPI 1538624721

Michael Gordon, ATC

Practitioner Athletic Trainer Milton, VT

Practice location

Address: 184 Route 7 S, Milton, VT 05468-3602
Phone: (802) 893-7427
Fax: (802) 893-7429
Mailing address: PO Box 776, Milton, VT 05468-0776

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 104.0133908 (VT)

Other Specialist/Technologist providers in Vermont →

Registry record

NPI: 1538624721
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2019
Record last updated: 1 Feb 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.