Alexander C Mellin, MS, ATC, LAT
Specialist/Technologist, Athletic Trainer in Lowell, MA. Individual provider (NPI-1).
NPI number1780224246
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1780224246
- Entity type
- Individual (NPI-1)
- Name
- Alexander C Mellin
- Credential
- MS, ATC, LAT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2020
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2000023944 | – | Yes |
Practice location
Costello Athletic Center275 Riverside Street
Lowell, MA 01854
Phone 978-934-2373
Mailing address
Costello Athletic Center275 Riverside Street
Lowell, MA 01854
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