Nicole Taranto, ATC

Individual provider Active NPI Athletic Trainer · Plainfield, CT

NPI 1275917478 · NPPES record last updated Jul 17, 2015

Key facts

NPI
1275917478
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
378 Tarbox Rd
Plainfield, CT 06374-1941
Phone
(860) 617-7913
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X SC Yes

Addresses

Primary practice location

378 Tarbox Rd
Plainfield, CT 06374-1941

Mailing address

378 Tarbox Rd
Plainfield, CT 06374-1941
Phone (860) 617-7913

Other providers in Plainfield, CT

All providers in Plainfield, CT · Athletic Trainer in Connecticut

Sources for this page

Verify at the official NPI Registry.