Micheal Hatch

Individual provider Active NPI Athletic Trainer · Dudley, MA

NPI 1780198341 · NPPES record last updated Nov 18, 2017

Key facts

NPI
1780198341
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
266 Ramshorn Rd
Dudley, MA 01571-6247
Phone
(774) 283-5060
NPI assigned
Nov 18, 2017
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

266 Ramshorn Rd
Dudley, MA 01571-6247

Mailing address

266 Ramshorn Rd
Dudley, MA 01571-6247

Other providers in Dudley, MA

All providers in Dudley, MA · Athletic Trainer in Massachusetts

Sources for this page

Verify at the official NPI Registry.