NPI 1558108159

Raymond Ikechukwu Ezirike, ACSMEP

Practitioner Clinical Exercise Physiologist Enfield, CT

Practice location

Address: 118 Hazard Ave, Enfield, CT 06082-4593
Phone: (860) 803-2319
Mailing address: 91 Lancaster Dr, Windsor, CT 06095-1467

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X Licence 1070016 (CT)

Other Clinical Exercise Physiologist providers in Connecticut →

Registry record

NPI: 1558108159
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2024
Record last updated: 10 Jul 2024

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.