NPI 1598539124

Thomas Matthew Donovan

Practitioner Athletic Trainer Middlebury, VT

Practice location

Address: 219 S Main St, Middlebury, VT 05753-1443
Phone: (803) 443-4204
Mailing address: 39 East St, Rutland, VT 05701-4128

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 104.0134001 (VT)

Other Specialist/Technologist providers in Vermont →

Registry record

NPI: 1598539124
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2023
Record last updated: 14 Nov 2023

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.