Active NPIIndividual provider

Kathryn M Malatestinic, ATC

Specialist/Technologist, Athletic Trainer in Bethel, Connecticut

NPI Number1881184109
Practice location
1500 Lexington Blvd, Bethel, CT 06801-1338
Fax
—
Last updated
August 7, 2020

Kathryn Marie Malatestinic is a Specialist/Technologist, Athletic Trainer based in Bethel, CT. Kathryn Marie Malatestinic practices in Bethel, CT and has the professional credentials of ATC. The NPI Number for Kathryn Marie Malatestinic is 1881184109 and holds a License No. 2000030923 (NC). The current practice location address for Kathryn Marie Malatestinic is 1500 Lexington Blvd, Bethel, CT 06801-1338 and can be reached out via phone at 203-240-7122.

Provider Profile Details

NPI Number
1881184109
Provider Name
Kathryn Marie Malatestinic
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
1500 Lexington Blvd, Bethel, CT 06801-1338
Phone Number
203-240-7122
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2018
Last Update Date
August 7, 2020
Certification Date
August 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1500 Lexington Blvd
Bethel, CT 06801-1338
City
Bethel
Zip
06801-1338
Phone Number
203-240-7122
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
2011 Village View Cir Apt 202
Belmont, NC 28012-3199
City
Belmont
State
NC
Zip
28012-3199
Phone Number
203-240-7122

License Information

License Number (1)
2000030923
License State (1)
NC
Taxonomy (2)
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 Kathryn M Malatestinic, ATC?

The NPI number of Kathryn M Malatestinic, ATC is 1881184109. It was assigned on May 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Kathryn M Malatestinic, ATC?

Kathryn M Malatestinic, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NC under license number 2000030923.

Where does Kathryn M Malatestinic, ATC practice?

The practice location is 1500 Lexington Blvd, Bethel, CT 06801-1338. The office can be reached at 203-240-7122 (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 1881184109 directly on the NPPES registry website.

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