Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MONICA LEIGH KRAACK, ATC, LAT
Active Sole ProprietorMONICA LEIGH KRAACK, ATC, LAT is a Athletic Trainer healthcare provider located in ST MARIES, Idaho. NPI 1073889366 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ST MARIES, ID
Registration Details
- NPI Number
- 1073889366
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2012 (14.333029874041 yrs)
- Last Updated
- Mar 30, 2012
- License
-
AT-361 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
46499 S HIGHWAY 3ST MARIES, ID, 838619642Browse ID providers · Browse ZIP 83861
- Phone
- 2088197706
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ST MARIES, ID
| Name | Credential | NPI |
|---|---|---|
| MS. AMANDA L. TAMS | ATC | 1831226513 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.