Christine Dara Reyes, PHD, LAT, ATC
Individual provider Active NPI Athletic Trainer · Northfield, VT
NPI 1851930002 · NPPES record last updated Sep 29, 2024
Key facts
- NPI
- 1851930002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 104.0133997 (VT)
- Practice address
- 158 Harmon Dr
Northfield, VT 05663-1000 - Phone
- (802) 485-2893
- NPI assigned
- Jan 4, 2020
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0700 | NH | MD | Athletic Trainer |
| 104.0133997 | VT | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0700 | NH | |
| Athletic Trainer | 2255A2300X | 104.0133997 | VT | Yes |
Addresses
Primary practice location
158 Harmon Dr
Northfield, VT 05663-1000
Mailing address
23 Stevens St
Enfield, NH 03748-3578
Phone (203) 886-9768
Other providers in Northfield, VT
- Marcella M Pelkey
- Patricia Petraro
- Nicole Marie Pettersen
- Mary Kelly Pinkans
- Rebecca Pressman
- Kendra Roby
- K. Martin Simon
- Kaitlin Austin Smith
- Leah Sophrin
- Craig D Sullivan
All providers in Northfield, 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 Sep 29, 2024. 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.