Individual
KEITH MICHAEL BELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DAT, ATC
Contact information
Practice address
1844 COMMONWEALTH AVE, AUBURNDALE, MA 02466-2709
(617) 243-2095
Mailing address
142 JENKINS FARM RD, CHESTER, NH 03036-4405
(603) 767-8930
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3494
MA
Other
Enumeration date
07/14/2006
Last updated
09/14/2020
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