Provider Demographics
NPI:1295204378
Name:CARON, JAIME (LAT, ATC, NASM-CPT)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:CARON
Suffix:
Gender:F
Credentials:LAT, ATC, NASM-CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SNUG HARBOR EXT
Mailing Address - Street 2:
Mailing Address - City:ATKINSON
Mailing Address - State:NH
Mailing Address - Zip Code:03811-5108
Mailing Address - Country:US
Mailing Address - Phone:603-845-9778
Mailing Address - Fax:
Practice Address - Street 1:26 SNUG HARBOR EXT
Practice Address - Street 2:
Practice Address - City:ATKINSON
Practice Address - State:NH
Practice Address - Zip Code:03811-5108
Practice Address - Country:US
Practice Address - Phone:603-845-9778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-18
Last Update Date:2019-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33162255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer