Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL R DESOCIO, ATC
Active Sole ProprietorMICHAEL R DESOCIO, ATC is a Athletic Trainer healthcare provider located in RED BANK, New Jersey. NPI 1801039300 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · RED BANK, NJ
Registration Details
- NPI Number
- 1801039300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2009 (17.296697644437 yrs)
- Last Updated
- Apr 13, 2009
- Licenses
-
25MT00151100 (NJ)RT004347 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 BROAD STRED BANK, NJ, 077011915Browse NJ providers · Browse ZIP 07701
- Phone
- 7329216692
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in RED BANK, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. JASON ROBERT RADEMACHER | ATC, LAT | 1114083854 |
| AMANDA BALARINNI | — | 1093181430 |
| SEAN KENNEY | — | 1689454092 |
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.