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

SHAWN KRISTOPHER PETRUCCI

Active

SHAWN KRISTOPHER PETRUCCI is a Athletic Trainer healthcare provider located in WAKEFIELD, Rhode Island. NPI 1689178154 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WAKEFIELD, RI

Registration Details

NPI Number
1689178154
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2018 (8.3660188311273 yrs)
Last Updated
Mar 20, 2018

Practice Information

Address
153 KINGS RIDGE RD
WAKEFIELD, RI, 028797675
Browse RI providers · Browse ZIP 02879
Phone
4015757122
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WAKEFIELD, RI

Name Credential NPI
KATHERINE FISCHER ATC 1073053187
OLIVIA EVANGELINE FRANGOS ATC 1518774496
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.