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

MRS. MICHELLE LEE BLACK, ATC

Active

Athletic Trainer · BURLINGTON, VT

Registration Details

NPI Number
1295879351
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2007 (19.165182725566 yrs)
Last Updated
Jul 11, 2016
License
104-0000139 (VT)

Practice Information

Address
431 PINE ST STE G01
BURLINGTON, VT, 054014726
Browse VT providers · Browse ZIP 05401
Phone
8022727383
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BURLINGTON, VT

Name Credential NPI
MR. JAMES WILLIAM MURDOCK ATC 1639162035
LISA M HARDY ATC 1336113844
MRS. ALLISON PAGE SHEPHERD MA, ATC 1093780793
MR. GRANT WILSON III MS, ATC, LAT 1467493031
MICUM KYLE MCINTIRE MS, ATC, OTC 1497764658
KELLY J TOURVILLE MED, ATC 1760558209
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.