Mr. Daniel R Tetreault, MED ATC LATC
Specialist/Technologist, Athletic Trainer in Charlton, Massachusetts
1063710762- Practice location
- 70 Hanson Road, Charlton, MA 01507
- Phone
- 774-364-0083
- Fax
- —
- Last updated
- March 3, 2011
Daniel R Tetreault is a Specialist/Technologist, Athletic Trainer based in Charlton, MA. Daniel R Tetreault practices in Charlton, MA and has the professional credentials of MED ATC LATC. The NPI Number for Daniel R Tetreault is 1063710762 and holds a License No. 880 (MA). The current practice location address for Daniel R Tetreault is 70 Hanson Road, Charlton, MA 01507 and can be reached out via phone at 774-364-0083.
Provider Profile Details
- NPI Number
- 1063710762
- Provider Name
- Daniel R Tetreault
- Credential
- MED ATC LATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 70 Hanson Road, Charlton, MA 01507
- Phone Number
- 774-364-0083
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 3, 2011
- Last Update Date
- March 3, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Hanson Road
Charlton, MA 01507 - City
- Charlton
- State
- Massachusetts
- Zip
- 01507
- Phone Number
- 774-364-0083
Provider Business Mailing Address Details
- Address
- 70 Hanson RD
Charlton, MA 01507-1532 - City
- Charlton
- State
- MA
- Zip
- 01507-1532
- Phone Number
- 774-364-0083
License Information
- License Number
- 880
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Daniel R Tetreault, MED ATC LATC?
The NPI number of Mr. Daniel R Tetreault, MED ATC LATC is 1063710762. It was assigned on March 3, 2011 and is currently active in the NPPES registry.
What is the specialty of Mr. Daniel R Tetreault, MED ATC LATC?
Mr. Daniel R Tetreault, MED ATC LATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 880.
Where does Mr. Daniel R Tetreault, MED ATC LATC practice?
The practice location is 70 Hanson Road, Charlton, MA 01507. The office can be reached at 774-364-0083 (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 1063710762 directly on the NPPES registry website.