Individual
ANDREW MARTIN STULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
Mailing address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0133941
VT
Other
Enumeration date
12/13/2011
Last updated
02/15/2022
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