Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESARAE LATINO-DAVIS, MS, ATC, LAT
Active Sole ProprietorDESARAE LATINO-DAVIS, MS, ATC, LAT is a Athletic Trainer healthcare provider located in GROTON, Connecticut. NPI 1528417672 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GROTON, CT
Registration Details
- NPI Number
- 1528417672
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2016 (10.146157893294 yrs)
- Last Updated
- Jun 9, 2016
- License
-
303 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 PARTRIDGE RDGROTON, CT, 063404323Browse CT providers · Browse ZIP 06340
- Phone
- 8604455220
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.