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

Mr. Michael R. Derosier, ATC

Individual provider Athletic Trainer · NPI 1295897833

Mr. Michael R. Derosier, ATC is an Athletic Trainer in Hanover, New Hampshire. Practices as a sole proprietor. Licensed in New Hampshire and New Jersey.

Licensed in
NH, NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Dartmouth College Alumni Gymnasium Hb 6083
Hanover, NH 03755 Not confirmed with CMS for 17 years — call before visiting
Phone: (603) 646-9772
Fax: (603) 646-9941
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0360 (NH)
Athletic Trainer Taxonomy 2255A2300X · Licence 25MT00060500 (NJ)

Record details

NPI number1295897833
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESMay 20, 2009

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