Maghan Charland, ATC
Individual provider Active NPI Athletic Trainer · Williston, VT
NPI 1578834065 · NPPES record last updated Jan 16, 2012
Key facts
- NPI
- 1578834065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 104-0081326 (VT)
- Practice address
- 426 Industrial Ave
Suite 190
Williston, VT 05495-4448 - Phone
- (802) 860-4360
- Fax
- (802) 488-3160
- NPI assigned
- Jan 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 104-0081326 | VT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT 360 Inc | Athletic Trainer | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 104-0081326 | VT | Yes |
Addresses
Primary practice location
426 Industrial Ave
Suite 190
Williston, VT 05495-4448
Mailing address
426 Industrial Ave
Suite 190
Williston, VT 05495-4448
Phone (802) 860-4360
Other providers in Williston, VT
- Champlain Center for Play Therapy and Family Counseling
- Champlain Valley Brace and Limb, L.L.C.
- Champlain Valley Speech Therapy
- Taylor Christine Champlin
- Diane Charland
- Savannah Cheeseman
- Heather Marie Chernyshov
- Erin A Chicoine
- Child Care Resource
- Jangkyu Choi
All providers in Williston, VT · Athletic Trainer in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2012. 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.