Michael Gordon, ATC Valid NPI
Individual provider · Athletic Trainer · Milton, VT
- NPI
- 1538624721
- Type
- Individual (Type 1)
- Primary specialty
- Athletic Trainer (Specialist/Technologist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2255A2300X
- License number
- 104.0133908 (VT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-02-01
- Last updated
- 2019-02-01
Practice location
184 Route 7 S
Milton, VT 05468-3602
(802) 893-7427