Individual
SETH CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
44 GEREMONTY DR, SALEM, NH 03079-3389
(603) 893-7069
Mailing address
1 4TH ST, WINDHAM, NH 03087-1913
(603) 631-1142
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0420
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420
NEW HAMPSHIRE BOARD OF ALLIED HEALTH
NH
Enumeration date
09/14/2021
Last updated
09/14/2021
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