Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MICHELLE RENEE STAFFORD, ATC
Active Sole ProprietorAthletic Trainer · MEDWAY, OH
Registration Details
- NPI Number
- 1891907465
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2007 (18.99203241991 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT002109 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9988 W UNION RDMEDWAY, OH, 453419747Browse OH providers · Browse ZIP 45341
- Phone
- 9378491135
- 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.