Individual
MR. GEOFFREY G REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, PES
Contact information
Practice address
271 MOULTON RD, WAITSFIELD, VT 05673-7070
(802) 496-6344
(802) 496-6315
Mailing address
271 MOULTON RD, WAITSFIELD, VT 05673-7070
(802) 496-6344
(802) 496-6315
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000119
VT
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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