Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DANIEL R TETREAULT, M.ED. A.T.C. L.A.T.C
Active Sole ProprietorMR. DANIEL R TETREAULT, M.ED. A.T.C. L.A.T.C is a Athletic Trainer healthcare provider located in CHARLTON, Massachusetts. NPI 1063710762 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CHARLTON, MA
Registration Details
- NPI Number
- 1063710762
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2011 (15.267053838578 yrs)
- Last Updated
- Mar 3, 2011
- License
-
880 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
70 HANSON ROADCHARLTON, MA, 01507Browse MA providers · Browse ZIP 01507
- Phone
- 7743640083
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CHARLTON, MA
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY JOHN NIKOPOULOS | RN, ATC | 1548677768 |
| DANIELLE DONNELLY | — | 1033632005 |
| VICTORIA CROWE | — | 1649737826 |
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.