Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESE LISIEUX BRODERICK
Active Sole ProprietorTHERESE LISIEUX BRODERICK is a Athletic Trainer healthcare provider located in ALBANY, New York. NPI 1730731225 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ALBANY, NY
Registration Details
- NPI Number
- 1730731225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2019 (7.1163651648082 yrs)
- Last Updated
- Jul 15, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
391 W LAWRENCE STALBANY, NY, 122082135Browse NY providers · Browse ZIP 12208
- Phone
- 5184822639
- Fax
- 5184822639
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ALBANY, NY
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS F. FASHOUER | A.T.C. | 1154314805 |
| AIMEE M BRUNELLE | ATC | 1497869051 |
| MR. RONALD WAYNE HUTCHINS JR. | ATC | 1508991209 |
| MS. GUINEVERE M MOHAMMED-BARTELINI | ATC | 1447385877 |
| KAREN A FISCHER | ATC | 1982730099 |
| MR. JESSUP DANIEL PIERCE | ATC | 1912033804 |
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.