Active NPIIndividual providerSole proprietor

Mrs. Diane W Maillet, MED, ATC, LAT

Specialist/Technologist, Athletic Trainer in Hudson, Massachusetts

NPI Number1740317114
Practice location
21 Cayuga Dr, Hudson, MA 01749-3104
Fax
—
Last updated
December 4, 2025

Diane W. Maillet is a Specialist/Technologist, Athletic Trainer based in Hudson, MA. Diane W. Maillet practices in Hudson, MA and has the professional credentials of MED, ATC, LAT. The NPI Number for Diane W. Maillet is 1740317114 and holds a License No. 1164 (MA). The current practice location address for Diane W. Maillet is 21 Cayuga Dr, Hudson, MA 01749-3104 and can be reached out via phone at 774-278-0366.

Provider Profile Details

NPI Number
1740317114
Provider Name
Diane W. Maillet
Credential
MED, ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
21 Cayuga Dr, Hudson, MA 01749-3104
Phone Number
774-278-0366
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2007
Last Update Date
December 4, 2025
Certification Date
December 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Cayuga Dr
Hudson, MA 01749-3104
City
Hudson
Zip
01749-3104
Phone Number
774-278-0366
Hudson, MA 01749Get directions →

Provider Business Mailing Address Details

Address
21 Cayuga Dr
Hudson, MA 01749-3104
City
Hudson
State
MA
Zip
01749-3104
Phone Number
774-278-0366

License Information

License Number
1164
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 Mrs. Diane W Maillet, MED, ATC, LAT?

The NPI number of Mrs. Diane W Maillet, MED, ATC, LAT is 1740317114. It was assigned on February 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Diane W Maillet, MED, ATC, LAT?

Mrs. Diane W Maillet, MED, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 1164.

Where does Mrs. Diane W Maillet, MED, ATC, LAT practice?

The practice location is 21 Cayuga Dr, Hudson, MA 01749-3104. The office can be reached at 774-278-0366 (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 1740317114 directly on the NPPES registry website.

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