Search › New York › 2255A2300X
Jeremy Marra, ATC,CSCS
NPI 1447458799 · on the registry since 2007 · sole proprietor
Practice
- Address
- 60 Averyville Ln
Lake Placid, NY 12946 - Phone
- (734) 502-6031
Additional practice sites
- 27165 John Dr, New Boston, MI
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York