Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICUM KYLE MCINTIRE, MS, ATC, OTC
ActiveAthletic Trainer · BURLINGTON, VT
Registration Details
- NPI Number
- 1497764658
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (19.710588631074 yrs)
- Last Updated
- Jul 6, 2011
- Licenses
-
09-0203 (NH)0363 (NH)104.0000165 (VT)
Practice Information
- Address
-
789 PINE STBURLINGTON, VT, 054014933Browse VT providers · Browse ZIP 05401
- Phone
- 8022641052
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Athletic Trainer
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 |
| KELLY J TOURVILLE | MED, ATC | 1760558209 |
| MRS. MICHELLE LEE BLACK | ATC | 1295879351 |
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.