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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE R POTTER, ATC, LAT

Active Sole Proprietor

JESSE R POTTER, ATC, LAT is a Athletic Trainer healthcare provider located in SOUTH PORTLAND, Maine. NPI 1962160929 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SOUTH PORTLAND, ME

Registration Details

NPI Number
1962160929
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2021 (4.6450631512139 yrs)
Last Updated
Dec 7, 2021
License
AT824 (ME)
Sole Proprietor
Yes

Practice Information

Address
119 GANNETT DR
SOUTH PORTLAND, ME, 041066942
Browse ME providers · Browse ZIP 04106
Phone
2077730040
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SOUTH PORTLAND, ME

Name Credential NPI
RYAN A LUCAS A.T.C. 1144218389
KATHRYN MCCARTHY ATC, CMA, RMA 1992764385
NEIL K CARROLL ATC 1871534180
SARAH E DALY ATC 1912949108
MR. JASON DUANE ASDOURIAN ATC 1356355267
BETH THOMPSON MS, LATC 1871828616
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.