Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN WILLIAM KENNEDY FISHER, ATC, LAT
ActiveETHAN WILLIAM KENNEDY FISHER, ATC, LAT is a Athletic Trainer healthcare provider located in NORTH ATTLEBORO, Massachusetts. NPI 1013494079 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NORTH ATTLEBORO, MA
Registration Details
- NPI Number
- 1013494079
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2018 (8.0184523585199 yrs)
- Last Updated
- Jul 23, 2018
- License
-
3093 (MA)
Practice Information
- Address
-
44 EDDY STNORTH ATTLEBORO, MA, 027602240Browse MA providers · Browse ZIP 02760
- Phone
- 5082124962
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in NORTH ATTLEBORO, MA
| Name | Credential | NPI |
|---|---|---|
| BRETT MASTROPOLL | — | 1497143275 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.