Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL ANDREW MAHONEY II, A.T.,C. L.A.T.
Active Sole ProprietorAthletic Trainer · IRA, MI
Registration Details
- NPI Number
- 1144793936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2019 (7.3350991638387 yrs)
- Last Updated
- Jan 4, 2019
- License
-
2601000611 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6319 COUNTY LINE RDIRA, MI, 480231003Browse MI providers · Browse ZIP 48023
- Phone
- 5866482528
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.