Active NPIIndividual providerSole proprietor

Mrs. Marcia K Brysh, ATC, LAT

Specialist/Technologist, Athletic Trainer in Guilford, Connecticut

NPI Number1124156690
Practice location
110 Trailwood Dr, Guilford, CT 06437-2201
Fax
—
Last updated
July 8, 2007

Marcia Krekoska Brysh is a Specialist/Technologist, Athletic Trainer based in Guilford, CT. Marcia Krekoska Brysh practices in Guilford, CT and has the professional credentials of ATC, LAT. The NPI Number for Marcia Krekoska Brysh is 1124156690 and holds a License No. 000171 (CT). The current practice location address for Marcia Krekoska Brysh is 110 Trailwood Dr, Guilford, CT 06437-2201 and can be reached out via phone at 203-458-1790.

Provider Profile Details

NPI Number
1124156690
Provider Name
Marcia Krekoska Brysh
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
110 Trailwood Dr, Guilford, CT 06437-2201
Phone Number
203-458-1790
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 28, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Trailwood Dr
Guilford, CT 06437-2201
Zip
06437-2201
Phone Number
203-458-1790
Guilford, CT 06437Get directions →

Provider Business Mailing Address Details

Address
110 Trailwood Dr
Guilford, CT 06437-2201
City
Guilford
State
CT
Zip
06437-2201
Phone Number
203-458-1790

License Information

License Number
000171
License State
CT
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 Mrs. Marcia K Brysh, ATC, LAT?

The NPI number of Mrs. Marcia K Brysh, ATC, LAT is 1124156690. It was assigned on February 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Marcia K Brysh, ATC, LAT?

Mrs. Marcia K Brysh, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 000171.

Where does Mrs. Marcia K Brysh, ATC, LAT practice?

The practice location is 110 Trailwood Dr, Guilford, CT 06437-2201. The office can be reached at 203-458-1790 (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 1124156690 directly on the NPPES registry website.

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