Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CARRIE LYNN DEISENROTH, ATC
ActiveMRS. CARRIE LYNN DEISENROTH, ATC is a Athletic Trainer healthcare provider located in SOUTHBOROUGH, Massachusetts. NPI 1336292440 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTHBOROUGH, MA
Registration Details
- NPI Number
- 1336292440
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2007 (19.544603668874 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
1072 (MA)67 000457 (NY)
Practice Information
- Address
-
25 MARLBORO RDSOUTHBOROUGH, MA, 017721207Browse MA providers · Browse ZIP 01772
- Phone
- 5087866144
- Fax
- 5087866139
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in SOUTHBOROUGH, MA
| Name | Credential | NPI |
|---|---|---|
| JEFFREY JAMES FARRELL | ATC | 1699803957 |
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.