Active NPIIndividual providerSole proprietor

Timothy W Conley, LAT, ATC

Specialist/Technologist, Athletic Trainer in Standish, Maine

NPI Number1891526794
Practice location
278 Whites Bridge RD, Standish, ME 04084-5236
Fax
—
Last updated
August 12, 2024

Timothy William Conley is a Specialist/Technologist, Athletic Trainer based in Standish, ME. Timothy William Conley practices in Standish, ME and has the professional credentials of LAT, ATC. The NPI Number for Timothy William Conley is 1891526794 and holds a License No. AT792 (ME). The current practice location address for Timothy William Conley is 278 Whites Bridge RD, Standish, ME 04084-5236 and can be reached out via phone at 207-893-7830.

Provider Profile Details

NPI Number
1891526794
Provider Name
Timothy William Conley
Credential
LAT, ATC
Provider Entity Type
Individual
Gender
Male
Address
278 Whites Bridge RD, Standish, ME 04084-5236
Phone Number
207-893-7830
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
August 12, 2024
Last Update Date
August 12, 2024
Certification Date
August 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
278 Whites Bridge RD
Standish, ME 04084-5236
State
Maine
Zip
04084-5236
Phone Number
207-893-7830
Standish, ME 04084Get directions →

Provider Business Mailing Address Details

Address
123 Providence St
Portland, ME 04103-5048
City
Portland
State
ME
Zip
04103-5048
Phone Number
207-841-6068

License Information

License Number
AT792
License State
ME
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 Timothy W Conley, LAT, ATC?

The NPI number of Timothy W Conley, LAT, ATC is 1891526794. It was assigned on August 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Timothy W Conley, LAT, ATC?

Timothy W Conley, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT792.

Where does Timothy W Conley, LAT, ATC practice?

The practice location is 278 Whites Bridge RD, Standish, ME 04084-5236. The office can be reached at 207-893-7830 (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 1891526794 directly on the NPPES registry website.

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