Individual
KARISSA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 SCALE AVE, RUTLAND, VT 05701-4452
(802) 855-8068
Mailing address
1 SCALE AVE, RUTLAND, VT 05701-4452
(802) 855-8068
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0114910
VT
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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