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

KENTA MIYAZAKI, MS, ATC

Active

KENTA MIYAZAKI, MS, ATC is a Athletic Trainer healthcare provider located in PLATTSBURGH, New York. NPI 1669911517 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PLATTSBURGH, NY

Registration Details

NPI Number
1669911517
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2017 (9.7097254050145 yrs)
Last Updated
Feb 13, 2017
License
002627-1 (NY)

Practice Information

Address
101 BROAD STREET
SUNY PLATTSBURGH,
PLATTSBURGH, NY, 12901
Browse NY providers · Browse ZIP 12901
Phone
5185643089
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PLATTSBURGH, NY

Name Credential NPI
MR. JASON A. PACHTER MA, ATC, CSCS 1932424207
MARIA SHAVALIER — 1013558071
MRS. LISA ANN VICENCIO ATC 1235775768
JONATHAN EDWARDS ATC 1639779309
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.