Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL DISTEFANO, MA, ATC, CSCS, PES
ActiveMR. MICHAEL DISTEFANO, MA, ATC, CSCS, PES is a Athletic Trainer healthcare provider located in STORRS, Connecticut. NPI 1558803551 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STORRS, CT
Registration Details
- NPI Number
- 1558803551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2016 (9.7407346873513 yrs)
- Last Updated
- Nov 8, 2016
- License
-
000608 (CT)
Practice Information
- Address
-
9 DOG LNSUITE 108STORRS, CT, 062682239Browse CT providers · Browse ZIP 06268
- Phone
- 8604290899
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STORRS, CT
| Name | Credential | NPI |
|---|---|---|
| MR. DOUGLAS JAMES CASA | PHD, ATC | 1306830914 |
| PATRICIA KULA | ATC | 1528020740 |
| MR. ROBERT LOUIS HOWARD JR. | ATC | 1215990619 |
| MR. RALPH CHRISTOPHER MANSELL | M.ED., ATC | 1679536833 |
| CHRISTOPHER MATHEW HAGEMANN | ATC | 1740243468 |
| CARRIE ODETTA GRAHAM | MA.ATC | 1972533255 |
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.