Individual
REILLY MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
198 COACH RD, CHESTER, VT 05143-8987
(802) 289-4061
Mailing address
198 COACH RD, CHESTER, VT 05143-8987
(802) 289-4061
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1776
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2020
Last updated
07/28/2023
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