IndividualActive
Alexander Soule-Regine
NPI 1104209139 · Athletic Trainer · Burlington, VT
Provider details
- NPI number
- 1104209139
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 104.0112823 (VT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
60 Austin Dr
Apt 2
Burlington, VT 05401-5413
Phone: (978) 846-7097
Approximate (ZIP-level) locationGet directions
Mailing address
60 Austin Dr
Burlington, VT 05401-5413
Registry dates
- Enumerated
- 2015-07-08
- Last updated
- 2015-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.