OrganizationActive
Children'S Sports Medicine Foundation
NPI 1861680720 · Sports Medicine Podiatrist · Boston, MA
Provider details
- NPI number
- 1861680720
- Entity type
- Organization
- Primary specialty
- Sports Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Lyle Micheli, Director
Practice location
319 Longwood Ave
Boston, MA 02115-5728
Phone: (617) 355-5971
Fax: (617) 730-0178
Mailing address
Po Box 3694
Boston, MA 02241-3694
Registry dates
- Enumerated
- 2007-10-04
- Last updated
- 2007-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.