Ms. Charlotte Anderson, ATC, LAT
Specialist/Technologist, Athletic Trainer in Medford, Massachusetts
1740987320- Practice location
- 161 College Ave, Medford, MA 02155-5593
- Phone
- 617-627-5102
- Fax
- —
- Last updated
- July 17, 2023
Charlotte Anderson is a Specialist/Technologist, Athletic Trainer based in Medford, MA. Charlotte Anderson practices in Medford, MA and has the professional credentials of ATC, LAT. The NPI Number for Charlotte Anderson is 1740987320 and holds a License No. 3499 (MA). The current practice location address for Charlotte Anderson is 161 College Ave, Medford, MA 02155-5593 and can be reached out via phone at 617-627-5102.
Provider Profile Details
- NPI Number
- 1740987320
- Provider Name
- Charlotte Anderson
- Credential
- ATC, LAT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 161 College Ave, Medford, MA 02155-5593
- Phone Number
- 617-627-5102
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 14, 2023
- Last Update Date
- July 17, 2023
- Certification Date
- July 17, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 161 College Ave
Medford, MA 02155-5593 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5593
- Phone Number
- 617-627-5102
Provider Business Mailing Address Details
- Address
- 17 Dunshire Dr
North Chelmsford, MA 01863-1307 - City
- North Chelmsford
- State
- MA
- Zip
- 01863-1307
- Phone Number
- 617-459-9815
License Information
- License Number
- 3499
- 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 Ms. Charlotte Anderson, ATC, LAT?
The NPI number of Ms. Charlotte Anderson, ATC, LAT is 1740987320. It was assigned on February 14, 2023 and is currently active in the NPPES registry.
What is the specialty of Ms. Charlotte Anderson, ATC, LAT?
Ms. Charlotte Anderson, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 3499.
Where does Ms. Charlotte Anderson, ATC, LAT practice?
The practice location is 161 College Ave, Medford, MA 02155-5593. The office can be reached at 617-627-5102 (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 1740987320 directly on the NPPES registry website.