IndividualActive
Jillanna Simon, LAT, ATC, PES
NPI 1033529177 · Athletic Trainer · West Marlboro, VT
Provider details
- NPI number
- 1033529177
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC, PES
- Sex
- Female
- Sole proprietor
- No
- License
- RT005522 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2230 Higley Hill Rd
West Marlboro, VT 05363-9512
Phone: (802) 258-7806
Approximate (ZIP-level) locationGet directions
Mailing address
2230 Higley Hill Rd
West Marlboro, VT 05363-9512
Registry dates
- Enumerated
- 2014-04-29
- Last updated
- 2014-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.