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

Therese Lisieux Broderick

Individual provider Athletic Trainer · NPI 1730731225

Therese Lisieux Broderick is an Athletic Trainer in Albany, New York. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

391 W Lawrence St
Albany, NY 12208-2135
Phone: (518) 482-2639
Fax: (518) 482-2639
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 number1730731225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 15, 2019
Last updated in NPPESJuly 15, 2019

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