DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PHILIP JAY STEVENSON, ATC LAT

Active Sole Proprietor

MR. PHILIP JAY STEVENSON, ATC LAT is a Athletic Trainer healthcare provider located in WEST HARTFORD, Connecticut. NPI 1225501976 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WEST HARTFORD, CT

Registration Details

NPI Number
1225501976
Provider Type
Individual
Gender
Male
NPI Issued
Jan 5, 2019 (7.5632251176715 yrs)
Last Updated
Jan 5, 2019
License
001270 (CT)
Sole Proprietor
Yes

Practice Information

Address
200 BLOOMFIELD AVE
WEST HARTFORD, CT, 061171599
Browse CT providers · Browse ZIP 06117
Phone
6235216312
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WEST HARTFORD, CT

Name Credential NPI
TRACI HAZELTON PT, ATC, CSCS 1548230808
JOHN SCOTT LEARD 1497715668
MS. STACY MICHELLE CIARLEGLIO ATC 1124084595
MR. JOHN L GILMOUR MA, ATC 1477510345
MR. STEVEN MARK CANNATA M.S., ATC, LAT 1013012590
STEPHANIE ANN QUINN M.S., A.T.C 1700915725
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.