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

MS. ANNE MARIE MICINSKI, ATC, LAT

Active Sole Proprietor

MS. ANNE MARIE MICINSKI, ATC, LAT is a Athletic Trainer healthcare provider located in SOUTH BEND, Indiana. NPI 1912065848 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SOUTH BEND, IN

Registration Details

NPI Number
1912065848
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2006 (19.652680753537 yrs)
Last Updated
Jul 8, 2007
License
36000188A (IN)
Sole Proprietor
Yes

Practice Information

Address
1005 N HICKORY RD
SOUTH BEND, IN, 466153723
Browse IN providers · Browse ZIP 46615
Phone
5742335754
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SOUTH BEND, IN

Name Credential NPI
ANTHONY ZORGER ATC 1871623595
SARAH ELIZABETH REDMAN ATC 1194937680
MRS. KARA G WERNER-SANDERS LAT, ATC, CSCS 1275712085
MRS. KELLY DEMSKI ATC 1336426139
JOHN CODDINGTON ATC 1689912685
MRS. KENDRA WEBER ATC 1518387216
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.