Trevor William Burns, M.S., ATC

Individual provider Active NPI Athletic Trainer · Plainville, CT

NPI 1780701110 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1780701110
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
000236 (CT)
Practice address
240 East St Ste C
Plainville, CT 06062-2935
Phone
(860) 793-6882
NPI assigned
Mar 22, 2007
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000236CTMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000236 CT Yes

Addresses

Primary practice location

240 East St Ste C
Plainville, CT 06062-2935

Mailing address

26 Fox Run CT
Newington, CT 06111-4578
Phone (352) 219-2128

Other providers in Plainville, CT

All providers in Plainville, CT · Athletic Trainer in Connecticut

Sources for this page

Verify at the official NPI Registry.