Active NPIIndividual provider

Renee A Breault, ATC

Specialist/Technologist, Athletic Trainer in Johnson, Vermont

NPI Number1881711059
Practice location
Johnson State College, 337 College Hill, Johnson, VT 05656
Fax
802-635-1497
Last updated
July 8, 2007

Renee A Breault is a Specialist/Technologist, Athletic Trainer based in Johnson, VT. Renee A Breault practices in Johnson, VT and has the professional credentials of ATC. The NPI Number for Renee A Breault is 1881711059 and holds a License No. 1040000093 (VT). The current practice location address for Renee A Breault is Johnson State College, 337 College Hill, Johnson, VT 05656 and can be reached out via phone at 802-635-1487 and via fax at 802-635-1497.

Provider Profile Details

NPI Number
1881711059
Provider Name
Renee A Breault
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
Johnson State College, 337 College Hill, Johnson, VT 05656
Phone Number
802-635-1487
Fax Number
802-635-1497
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
March 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Johnson State College
337 College Hill
Johnson, VT 05656
State
Vermont
Zip
05656
Phone Number
802-635-1487
Fax Number
802-635-1497
Johnson, VT 05656Get directions →

Provider Business Mailing Address Details

Address
47 Peachtree Ln
Apt. 1
Colchester, VT 05446
City
Colchester
State
VT
Zip
05446
Phone Number
802-373-5270

License Information

License Number
1040000093
License State
VT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Specialist/Technologist, Athletic Trainers near Johnson, VT

View all Specialist/Technologist, Athletic Trainers in Johnson →

Frequently Asked Questions

What is the NPI number of Renee A Breault, ATC?

The NPI number of Renee A Breault, ATC is 1881711059. It was assigned on March 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Renee A Breault, ATC?

Renee A Breault, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in VT under license number 1040000093.

Where does Renee A Breault, ATC practice?

The practice location is Johnson State College, 337 College Hill, Johnson, VT 05656. The office can be reached at 802-635-1487 (phone) or 802-635-1497 (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 1881711059 directly on the NPPES registry website.

Browse related providers