Peter Krysko, MED, LATC
Specialist/Technologist, Athletic Trainer in North Easton, MA. Individual provider (NPI-1).
NPI number1003497033
StatusActive
Last updated in NPPESApr 20, 2021
Details
- NPI
- 1003497033
- Entity type
- Individual (NPI-1)
- Name
- Mr. Peter Krysko
- Credential
- MED, LATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 20, 2021
- Certification date
- Apr 20, 2021
- Last updated
- Apr 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1114 | MA | Yes |
Practice location
320 Washington StNorth Easton, MA 02357-0001
Phone 508-565-1514
Mailing address
2 Morse DrNorton, MA 02766-2823
Phone 978-618-5418
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