Cassandra Bushey, ATC

Individual provider Active NPI Athletic Trainer · New London, NH

NPI 1982014155 · NPPES record last updated Apr 28, 2014

Key facts

NPI
1982014155
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
0571 (NH)
Practice address
541 Main St
New London, NH 03257-7818
Phone
(160) 352-6306
NPI assigned
Apr 28, 2014
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
0571NHMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0571 NH Yes

Addresses

Primary practice location

541 Main St
New London, NH 03257-7818

Mailing address

PO Box 43
North Hartland, VT 05052-0043

Other providers in New London, NH

All providers in New London, NH · Athletic Trainer in New Hampshire

Sources for this page

Verify at the official NPI Registry.