Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Distefano, MA, ATC, CSCS, PES

Individual provider Athletic Trainer · NPI 1558803551

Mr. Michael Distefano, MA, ATC, CSCS, PES is an Athletic Trainer in Storrs, Connecticut. Licensed in Connecticut. Registered with an NPI since 2016.

Licensed in
CT
In the registry since
2016
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

9 Dog Ln Ste 108
Storrs, CT 06268-2239
Phone: (860) 429-0899
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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 000608 (CT)

Record details

NPI number1558803551
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , ATC , CSCS , PES
Sole proprietorNo
NPI enumeratedNovember 8, 2016
Last updated in NPPESNovember 8, 2016

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