Active NPIIndividual provider

Mrs. Julie Dutton X, ATC

Specialist/Technologist, Athletic Trainer in Manchester, Connecticut

NPI Number1902297609
Practice location
586 Middle Tpke E, Manchester, CT 06040-3730
Fax
—
Last updated
February 17, 2015

Julie Dutton is a Specialist/Technologist, Athletic Trainer based in Manchester, CT. Julie Dutton practices in Manchester, CT and has the professional credentials of ATC. The NPI Number for Julie Dutton is 1902297609 and holds a License No. 000634 (CT). The current practice location address for Julie Dutton is 586 Middle Tpke E, Manchester, CT 06040-3730 and can be reached out via phone at 860-645-3810.

Provider Profile Details

NPI Number
1902297609
Provider Name
Julie Dutton
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
586 Middle Tpke E, Manchester, CT 06040-3730
Phone Number
860-645-3810
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2015
Last Update Date
February 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
586 Middle Tpke E
Manchester, CT 06040-3730
Zip
06040-3730
Phone Number
860-645-3810
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
11 Cindy Dr
Coventry, CT 06238-3469
City
Coventry
State
CT
Zip
06238-3469
Phone Number
860-742-4428

License Information

License Number
000634
License State
CT
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. Julie Dutton X, ATC?

The NPI number of Mrs. Julie Dutton X, ATC is 1902297609. It was assigned on February 17, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Julie Dutton X, ATC?

Mrs. Julie Dutton X, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 000634.

Where does Mrs. Julie Dutton X, ATC practice?

The practice location is 586 Middle Tpke E, Manchester, CT 06040-3730. The office can be reached at 860-645-3810 (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 1902297609 directly on the NPPES registry website.

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