Individual
MR. MICHAEL THOMAS PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8 CLARKSON AVE, ATHLETICS, POTSDAM, NY 13699-1401
(315) 268-2123
Mailing address
8 CLARKSON AVE, BOX 5830 ATHLETICS, POTSDAM, NY 13699-1401
(315) 268-2123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000863-1
NY
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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