Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOSEPH MICHAEL PAVICH, ATC, LAT
ActiveMR. JOSEPH MICHAEL PAVICH, ATC, LAT is a Athletic Trainer healthcare provider located in BLOOMINGTON, Indiana. NPI 1649547480 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1649547480
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2011 (14.738359169467 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
AT002238 (GA)36001860A (IN)
Practice Information
- Address
-
2499 W COTA DRBLOOMINGTON, IN, 474034217Browse IN providers · Browse ZIP 47403
- Phone
- 8123539319
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| PROF. JOHN WILLIAM SCHRADER | HSD, LAT, ATC | 1306830849 |
| MR. JOSEPH SCOTT LUEKEN | ATC | 1114915873 |
| ANDREA LYNN ROTH | ATC | 1437147196 |
| MR. WALTER K SMITH | MED, LAT, ATC | 1417945122 |
| MR. ADAM BRIAN CLEMENS | ATC | 1891784351 |
| MR. ROBERT E BLACK | ATC | 1053301887 |
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.