Active NPIIndividual providerSole proprietor

Ms. Melissa B Brousseau, L, ATC

Specialist/Technologist, Athletic Trainer in Easthampton, Massachusetts

NPI Number1063036291
Practice location
19 Payson Ave, Easthampton, MA 01027-2246
Fax
—
Last updated
June 3, 2020

Melissa Beth Brousseau is a Specialist/Technologist, Athletic Trainer based in Easthampton, MA. Melissa Beth Brousseau practices in Easthampton, MA and has the professional credentials of L, ATC. The NPI Number for Melissa Beth Brousseau is 1063036291 and holds a License No. 1004 (MA). The current practice location address for Melissa Beth Brousseau is 19 Payson Ave, Easthampton, MA 01027-2246 and can be reached out via phone at 413-529-3089.

Provider Profile Details

NPI Number
1063036291
Provider Name
Melissa Beth Brousseau
Credential
L, ATC
Provider Entity Type
Individual
Gender
Female
Address
19 Payson Ave, Easthampton, MA 01027-2246
Phone Number
413-529-3089
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
June 3, 2020
Last Update Date
June 3, 2020
Certification Date
June 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Payson Ave
Easthampton, MA 01027-2246
Zip
01027-2246
Phone Number
413-529-3089
Easthampton, MA 01027Get directions →

Provider Business Mailing Address Details

Address
220 Main St Apt 1
Easthampton, MA 01027-2025
City
Easthampton
State
MA
Zip
01027-2025
Phone Number
413-626-9709

License Information

License Number
1004
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Melissa B Brousseau, L, ATC?

The NPI number of Ms. Melissa B Brousseau, L, ATC is 1063036291. It was assigned on June 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Melissa B Brousseau, L, ATC?

Ms. Melissa B Brousseau, L, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 1004.

Where does Ms. Melissa B Brousseau, L, ATC practice?

The practice location is 19 Payson Ave, Easthampton, MA 01027-2246. The office can be reached at 413-529-3089 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063036291 directly on the NPPES registry website.

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