Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN KRISTA IVES, ATC
Active Sole ProprietorSUSAN KRISTA IVES, ATC is a Athletic Trainer healthcare provider located in TULLY, New York. NPI 1245351907 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TULLY, NY
Registration Details
- NPI Number
- 1245351907
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2007 (19.188524846774 yrs)
- Last Updated
- Jul 8, 2007
- License
-
000031-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
455 STRONG RDTULLY, NY, 131593011Browse NY providers · Browse ZIP 13159
- Phone
- 3156966386
- 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.