Walter Trisdale, MS, ATC
Specialist/Technologist, Athletic Trainer in Worcester, Massachusetts
1245685809- Practice location
- One College St., College Of The Holy Cross, Worcester, MA 01610
- Phone
- 508-793-2627
- Fax
- 508-793-3974
- Last updated
- May 2, 2016
Walter Trisdale is a Specialist/Technologist, Athletic Trainer based in Worcester, MA. Walter Trisdale practices in Worcester, MA and has the professional credentials of MS, ATC. The NPI Number for Walter Trisdale is 1245685809 and holds a License No. 2152 (MA). The current practice location address for Walter Trisdale is One College St., College Of The Holy Cross, Worcester, MA 01610 and can be reached out via phone at 508-793-2627 and via fax at 508-793-3974.
Provider Profile Details
- NPI Number
- 1245685809
- Provider Name
- Walter Trisdale
- Credential
- MS, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- One College St., College Of The Holy Cross, Worcester, MA 01610
- Phone Number
- 508-793-2627
- Fax Number
- 508-793-3974
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2016
- Last Update Date
- May 2, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- One College St.
College Of The Holy Cross
Worcester, MA 01610 - City
- Worcester
- State
- Massachusetts
- Zip
- 01610
- Phone Number
- 508-793-2627
- Fax Number
- 508-793-3974
Provider Business Mailing Address Details
- Address
- One College St.
College Of The Holy Cross
Worcester, MA 01610 - City
- Worcester
- State
- MA
- Zip
- 01610
- Phone Number
- 508-793-2627
- Fax Number
- 508-793-3974
License Information
- License Number
- 2152
- 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 Walter Trisdale, MS, ATC?
The NPI number of Walter Trisdale, MS, ATC is 1245685809. It was assigned on May 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Walter Trisdale, MS, ATC?
Walter Trisdale, MS, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2152.
Where does Walter Trisdale, MS, ATC practice?
The practice location is One College St., College Of The Holy Cross, Worcester, MA 01610. The office can be reached at 508-793-2627 (phone) or 508-793-3974 (fax).
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 1245685809 directly on the NPPES registry website.