Provider Demographics
NPI:1467851170
Name:ROBILLARD, KRISTEN COLLEEN (ATC, EMT)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:COLLEEN
Last Name:ROBILLARD
Suffix:
Gender:F
Credentials:ATC, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 ANDREW CT
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-5042
Mailing Address - Country:US
Mailing Address - Phone:774-488-4367
Mailing Address - Fax:
Practice Address - Street 1:75 ANDREW CT
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-5042
Practice Address - Country:US
Practice Address - Phone:774-488-4367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer