IndividualActive
Casandra Black
NPI 1477210979 · Athletic Trainer · Windsor, CT
Provider details
- NPI number
- 1477210979
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1792 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4 Batchelder Rd
Windsor, CT 06095-3028
Phone: (860) 687-6171
Approximate (ZIP-level) locationGet directions
Mailing address
481 Old Stafford Rd
Tolland, CT 06084-2229
Additional practice locations (1)
- 481 Old Stafford RdTolland, CT 06084-2229Phone: (860) 924-8098
Registry dates
- Enumerated
- 2021-11-19
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.