Caitrin E Cavanaugh
Individual provider Active NPI Athletic Trainer · Weston, MA
NPI 1407018989 · NPPES record last updated Jun 26, 2008
Key facts
- NPI
- 1407018989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 01921 (MA)
- Practice address
- 333 Winter St
Weston, MA 02493-1071 - Phone
- (781) 235-9300
- NPI assigned
- Jun 26, 2008
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01921 | MA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 01921 | MA | Yes |
Addresses
Primary practice location
333 Winter St
Weston, MA 02493-1071
Mailing address
10 Emery Rd
Townsend, MA 01469-1271
Other providers in Weston, MA
- Pamela Carpenter
- Genevra Casais
- Bethany Casarjian
- Devin P Cashman
- Shelley A Cavallo
- Caitlin Marie Celia
- Victoria Olegovna Celik
- Carolyn S Chambers
- Charles River Optimal Wellness, LLC
- Ann Sprole Cheston
All providers in Weston, MA · Athletic Trainer in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2008. 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.