Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL BRIAN MCCORMICK, MA, ATC
ActiveAthletic Trainer · VERNON, CT
Registration Details
- NPI Number
- 1487616686
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2006 (20.04953054949 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2255A2300X (CT)
Practice Information
- Address
-
101 SOUTH STVERNON, CT, 060664410Browse CT providers · Browse ZIP 06066
- Phone
- 4129564888
- Primary Specialty
-
Athletic Trainer
225500000X
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.