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

MR. MICHAEL WAYNE PECK, MS, ATC, LAT

Active Sole Proprietor

MR. MICHAEL WAYNE PECK, MS, ATC, LAT is a Athletic Trainer healthcare provider located in FORT HUACHUCA, Arizona. NPI 1881801017 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FORT HUACHUCA, AZ

Registration Details

NPI Number
1881801017
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2007 (19.204617361698 yrs)
Last Updated
Jan 27, 2025
License
ATH.J00300 (LA)
Sole Proprietor
Yes

Practice Information

Address
2240 WINROW RD
FORT HUACHUCA, AZ, 856135080
Browse AZ providers · Browse ZIP 85613
Phone
5205339102
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in FORT HUACHUCA, AZ

Name Credential NPI
JOH'NASIA LASHAY LEWIS 1710511704
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.