Active NPIIndividual provider

Jesse Corriveau, LAT, ATC

Specialist/Technologist, Athletic Trainer in New London, New Hampshire

NPI Number1114557105
Practice location
541 Main St, New London, NH 03257-7818
Fax
—
Last updated
June 14, 2026

Jesse Corriveau is a Specialist/Technologist, Athletic Trainer based in New London, NH. Jesse Corriveau practices in New London, NH and has the professional credentials of LAT, ATC. The NPI Number for Jesse Corriveau is 1114557105 and holds a License No. 1409 (NH). The current practice location address for Jesse Corriveau is 541 Main St, New London, NH 03257-7818 and can be reached out via phone at 603-526-3400.

Provider Profile Details

NPI Number
1114557105
Provider Name
Jesse Corriveau
Credential
LAT, ATC
Provider Entity Type
Individual
Gender
Male
Address
541 Main St, New London, NH 03257-7818
Phone Number
603-526-3400
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
January 19, 2020
Last Update Date
June 14, 2026
Certification Date
June 14, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
541 Main St
New London, NH 03257-7818
Zip
03257-7818
Phone Number
603-526-3400
New London, NH 03257Get directions →

Provider Business Mailing Address Details

Address
541 Main St
New London, NH 03257-7818
City
New London
State
NH
Zip
03257-7818

License Information

License Number
1409
License State
NH
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 Jesse Corriveau, LAT, ATC?

The NPI number of Jesse Corriveau, LAT, ATC is 1114557105. It was assigned on January 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Jesse Corriveau, LAT, ATC?

Jesse Corriveau, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NH under license number 1409.

Where does Jesse Corriveau, LAT, ATC practice?

The practice location is 541 Main St, New London, NH 03257-7818. The office can be reached at 603-526-3400 (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 1114557105 directly on the NPPES registry website.

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