NPI 1902297609

Julie Dutton, ATC

Practitioner Athletic Trainer Manchester, CT

Practice location

Address: 586 Middle Tpke E, Manchester, CT 06040-3730
Phone: (860) 645-3810
Mailing address: 11 Cindy Dr, Coventry, CT 06238-3469

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000634 (CT)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1902297609
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2015
Record last updated: 17 Feb 2015

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.