IndividualActive
Carolynne Fagan
NPI 1043809064 · Athletic Trainer · Milton, VT
Provider details
- NPI number
- 1043809064
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
32 Stacy St
Milton, VT 05468-4161
Phone: (802) 893-1642
Approximate (ZIP-level) locationGet directions
Mailing address
32 Stacy St
Milton, VT 05468-4161
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.