IndividualActive
David Botelho, ATC
NPI 1073656294 · Athletic Trainer · Northfield, VT
Provider details
- NPI number
- 1073656294
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 104-0000028 (VT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
158 Harmon Dr
Norwich University
Northfield, VT 05663-1000
Phone: (802) 485-2236
Fax: (802) 485-2234
Approximate (ZIP-level) locationGet directions
Mailing address
25 Woods End Dr
Essex Junction, VT 05452-4731
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.