Breiann Elese Pomeroy, MS, AT, ATC
Specialist/Technologist, Athletic Trainer in Manistique, MI. Individual provider (NPI-1).
NPI number1982249876
StatusActive
Last updated in NPPESMay 19, 2025
Details
- NPI
- 1982249876
- Entity type
- Individual (NPI-1)
- Name
- Breiann Elese Pomeroy
- Credential
- MS, AT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2019
- Certification date
- May 19, 2025
- Last updated
- May 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2601003010 | MI | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 254039 | WI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Breiann Elese Richey (Former Name)
Practice location
5602w River RdManistique, MI 49854-9172
Phone 906-286-2240
Mailing address
5602w River RdManistique, MI 49854-9172
Phone 906-286-2240
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