Male or Other

Mr. Richard U. Sirois MS, LATC, CSCS

Athletic Trainer in New Gloucester, ME(View on Map)

Full Name

Mr. Richard Urbain Sirois MS, LATC, CSCS

NPI Number

1336191279

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/17/2006

Specialties

(Taxonomies)

Code

2255A2300X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

AT227

Contact
Information

Purpose

Mailing
Location

Address

46 BRIARWOOD DRIVE
46 BRIARWOOD DRIVE

City

New Gloucester
New Gloucester

State

ME
ME

Postal Code

04260
04260

Country

US
US

Telephone Number

(207) 590-6082
(207) 590-6082

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address