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Manuel Lopez, ATC, CSCS

Contractor in Sarasota, FL. Individual provider (NPI-1).

NPI number1184693277
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1184693277
Entity type
Individual (NPI-1)
Name
Mr. Manuel Lopez
Credential
ATC, CSCS
Sex
Male
Sole proprietor
No
Enumeration date
Mar 14, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes

Practice location

6700 Clark Rd
Sarasota, FL 34241-9328

Phone 815-519-4448

Mailing address

2725 N Elmwood Ave
Waukegan, IL 60087-3064

Phone 815-519-4448

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