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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACY SLACK

Active

STACY SLACK is a Athletic Trainer healthcare provider located in FAIRVIEW PARK, Ohio. NPI 1255491916 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FAIRVIEW PARK, OH

Registration Details

NPI Number
1255491916
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2006 (19.646288282565 yrs)
Last Updated
Oct 1, 2013
License
AT 002032 (OH)

Practice Information

Address
21225 LORAIN RD
FAIRVIEW PARK, OH, 441262120
Browse OH providers · Browse ZIP 44126
Phone
4403313180
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in FAIRVIEW PARK, OH

Name Credential NPI
MRS. JO-ANN BADAR ATC 1164543930
MS. HILARY HEWKIN AT 1528537941
MAUREEN WOLANSKY ATC 1427820588
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.