Jillian Burrill, ATC
Individual provider Active NPI Athletic Trainer · South Paris, ME
NPI 1073097481 · NPPES record last updated Sep 21, 2018
Key facts
- NPI
- 1073097481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 256 Main St
South Paris, ME 04281-1629 - Phone
- (207) 615-4869
- NPI assigned
- Sep 21, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ME | Yes |
Addresses
Primary practice location
256 Main St
South Paris, ME 04281-1629
Mailing address
256 Main St
South Paris, ME 04281-1629
Other providers in South Paris, ME
- Yvonne Marie Carter
- Community Concepts Inc
- Community Concepts Inc
- Community Concepts Inc
- Community Concepts, Inc
All providers in South Paris, ME · Athletic Trainer in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.