Chase Kapuscienski

Individual provider Active NPI Athletic Trainer · South Grafton, MA

NPI 1285220673 · NPPES record last updated Dec 19, 2020

Key facts

NPI
1285220673
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
61 Tulip Cir
South Grafton, MA 01560-1250
Phone
(508) 736-4539
NPI assigned
Dec 19, 2020
Sex
Male
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)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

61 Tulip Cir
South Grafton, MA 01560-1250

Mailing address

61 Tulip Cir
South Grafton, MA 01560-1250
Phone (508) 736-4539

Other providers in South Grafton, MA

All providers in South Grafton, MA · Athletic Trainer in Massachusetts

Sources for this page

Verify at the official NPI Registry.