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MICHELLE MOREAU M.S. ATC/LAT
NPI 1053993493
Specialist/Technologist - Athletic Trainer in St Marys City, MD

Active since April 26, 2021
18952 E FISHER RD, ST MARYS CITY, MD 20686(240) 895-4417(240) 895-4480 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Moreau M.s. Atc/lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE MOREAU M.S. ATC/LAT (NPI 1053993493) is an individual athletic trainer provider in St Marys City, Maryland, licensed in Maryland (A0001004) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1053993493
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMICHELLE MOREAUCredential: M.S. ATC/LAT
Location Address18952 E FISHER RDSt Marys City, MD 20686
Mailing Address271 Forest Hills DrLuray, VA 22835-9106 · (802) 324-3233
Phone(240) 895-4417
Fax(240) 895-4480
Sole ProprietorYes
Enumeration DateApril 26, 2021
NPPES CertifiedApril 26, 2021
✔ NPI 1053993493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MD · A0001004
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
18952 E FISHER RD, St Marys City, MD 20686
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIAM JAMES CRANMER ATC
Specialist/Technologist (Athletic Trainer)
18952 E FISHER RD, DEPARTMENT OF ATHLETICS
ST MARYS CITY, MD 20686
St. Mary's County (240) 895-2135
MISS JENNIFER ROSE ANDERSON ATC
Specialist/Technologist (Athletic Trainer)
18952 E FISHER RD
ST MARYS CITY, MD 20686
St. Mary's County (240) 895-2135
MS. EILEEN C LIGDAY CRNP
Nurse Practitioner (Pediatrics)
18952 E FISHER RD
ST MARYS CITY, MD 20686
St. Mary's County (240) 895-4289
MARIBETH ROSE BOEKE GANZELL LAT, ATC
Specialist/Technologist (Athletic Trainer)
18952 E FISHER RD
ST MARYS CITY, MD 20686
St. Mary's County (909) 241-2853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Moreau's NPI number?

The NPI number for Michelle Moreau is 1053993493. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Michelle Moreau located?

Michelle Moreau practices at 18952 E Fisher Rd, St Marys City, MD 20686. The listed phone number is (240) 895-4417.

What is Michelle Moreau's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Michelle Moreau was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.