IndividualActive
Brandon Hallaway
NPI 1497354401 · Athletic Trainer · Storrs, CT
Provider details
- NPI number
- 1497354401
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2098 Hillside Rd
Storrs, CT 06268
Phone: (860) 486-4900
Approximate (ZIP-level) locationGet directions
Mailing address
26 Willow Ln
Clinton, CT 06413-1528
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2020-10-21
- Certified
- 2020-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.