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

Michael Wadsworth

Individual provider Athletic Trainer · NPI 1699338384

Michael Wadsworth is an Athletic Trainer in Cranston, Rhode Island. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2019
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Practice location Address checks out

1974 Broad St # 2
Cranston, RI 02905-3429
Phone: (603) 803-2121
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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 3551 (MA)

Record details

NPI number1699338384
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2019
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021
Mailing address1974 Broad St # 2, Cranston, RI 02905-3429

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