Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE WILLIAM POLAKOWSKI, ATC
Active Sole ProprietorTHEODORE WILLIAM POLAKOWSKI, ATC is a Athletic Trainer healthcare provider located in MESA, Arizona. NPI 1649780305 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MESA, AZ
Registration Details
- NPI Number
- 1649780305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2017 (8.8476721341609 yrs)
- Last Updated
- Oct 9, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
2909 E FOX STMESA, AZ, 852135443Browse AZ providers · Browse ZIP 85213
- Phone
- 4806411798
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MESA, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. BARTON E ANDERSON | DHSC, AT, ATC | 1912991480 |
| MR. JEFFREY LEE PAXSON | ATC,L CSCS | 1609866300 |
| DR. TAMARA CHRISTINA VALOVICH MCLEOD | PHD, ATC | 1417929340 |
| MATTHEW MARK JOHNSON | MS, ATC, CSCS | 1770556128 |
| JEFFREY AARON COLLINS | ATC | 1336112580 |
| MR. CHARLES JON BAUGHMAN | A.T.,C. | 1376516336 |
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.