MICUM MCINTIRE, MS, ATC, OTC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1497764658

Practice Address

789 PINE ST
Burlington, VT 05401

Phone: (802) 264-1052

Specialties

Specialty Code Primary License
Specialist/Technologist, Other - Surgical Technologist 246ZS0410X No 09-0203 (NH)
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 104.0000165 (VT)

Frequently Asked Questions

NPI 1497764658 is the National Provider Identifier for MICUM MCINTIRE, MS, ATC, OTC, a Specialist/Technologist - Athletic Trainer provider located in Burlington, VT. This NPI was enumerated on August 5, 2006.
MICUM MCINTIRE, MS, ATC, OTC practices at 789 PINE ST, Burlington, VT 05401.

Quick Facts

NPI
1497764658
Type
Individual
Enumerated
Aug 5, 2006
Last Updated
Jul 6, 2011

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