Monica Leigh Kraack, ATC, LAT
Specialist/Technologist, Athletic Trainer in St Maries, ID. Individual provider (NPI-1).
NPI number1073889366
StatusActive
Last updated in NPPESMar 30, 2012
Details
- NPI
- 1073889366
- Entity type
- Individual (NPI-1)
- Name
- Monica Leigh Kraack
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2012
- Last updated
- Mar 30, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT-361 | ID | Yes |
Practice location
46499 S Highway 3St Maries, ID 83861-9642
Phone 208-819-7706
Mailing address
46499 S Highway 3St Maries, ID 83861-9642
Phone 208-819-7706
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Athletic Trainer providers in St Maries, ID
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.