Danielle Moore Kingsbury, L.A.T.,C

Individual provider Active NPI Athletic Trainer · Byfield, MA

NPI 1952437121 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1952437121
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
978 (MA)
Practice address
1 Elm St
Byfield, MA 01922-2734
Phone
(978) 499-3162
NPI assigned
Feb 24, 2007
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

LicenseStateTypeSpecialty
978MAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 978 MA Yes

Addresses

Primary practice location

1 Elm St
Byfield, MA 01922-2734

Mailing address

1 Elm St
Byfield, MA 01922-2734

Other providers in Byfield, MA

All providers in Byfield, MA · Athletic Trainer in Massachusetts

Sources for this page

Verify at the official NPI Registry.