Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Lynn Bogdonoff

Individual provider Athletic Trainer · NPI 1700536265

Marisa Lynn Bogdonoff is an Athletic Trainer in Storrs, Connecticut. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

7 Club House Cir Apt B
Storrs, CT 06268-1637
Phone: (973) 876-3260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1700536265
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address7 Club House Cir Apt B, Storrs, CT 06268-1637

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