Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH T. CIESLAK, D.C.
Active Sole ProprietorDR. KENNETH T. CIESLAK, D.C. is a Athletic Trainer healthcare provider located in BOGOTA, New Jersey. NPI 1164539375 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BOGOTA, NJ
Registration Details
- NPI Number
- 1164539375
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2006 (19.796567354684 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
38MC00490000 (NJ)25MT00033300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
61 E MAIN STBOGOTA, NJ, 076031369Browse NJ providers · Browse ZIP 07603
- Phone
- 2013901816
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
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.