IndividualActive
Michael Wadsworth
NPI 1699338384 · Athletic Trainer · Cranston, RI
Provider details
- NPI number
- 1699338384
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3551 (MA)
Mailing address
1974 Broad St # 2
Cranston, RI 02905-3429
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2021-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.