Individual
MICHELLE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, CES
Contact information
Practice address
2663 FERCHEN ST, NIAGARA FALLS, NY 14304-4611
(716) 731-1995
Mailing address
2663 FERCHEN ST, NIAGARA FALLS, NY 14304-4611
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004017-01
NY
Other
Enumeration date
09/11/2017
Last updated
09/28/2020
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