Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRANDA E SLACK
Active Sole ProprietorMIRANDA E SLACK is a Athletic Trainer healthcare provider located in TUSCALOOSA, Alabama. NPI 1508494220 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · TUSCALOOSA, AL
Registration Details
- NPI Number
- 1508494220
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 29, 2020 (6.3526959650502 yrs)
- Last Updated
- Mar 29, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
525 FRANK THOMAS AVE APT 5TUSCALOOSA, AL, 354012265Browse AL providers · Browse ZIP 35401
- Phone
- 8013269911
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in TUSCALOOSA, AL
| Name | Credential | NPI |
|---|---|---|
| MS. MONICA LISETTE DECKER VEAL | ATC | 1083680995 |
| MISS CHRISTINA JEAN MASCARO | ATC | 1679549521 |
| ERIN E WEAVER | ATC/L | 1184654410 |
| MR. JOHN RODNEY BROWN | ATC | 1972712826 |
| DR. DEIDRE DIANNE LEAVER-DUNN | PHD, LAT, ATC | 1841490448 |
| MRS. LORENE ELIZABETH HASTINGS | ATC | 1740452606 |
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.