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

Individual provider Athletic Trainer · NPI 1609227263

Mia Puopolo, LAT, ATC is an Athletic Trainer in Forest Hill, Maryland. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1906 Bear Creek Dr
Forest Hill, MD 21050-2736
Phone: (443) 567-1183
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence A0000625 (MD)

Record details

NPI number1609227263
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESJune 24, 2016

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