Kenta Miyazaki, MS, ATC
Specialist/Technologist, Athletic Trainer in Plattsburgh, NY. Individual provider (NPI-1).
NPI number1669911517
StatusActive
Last updated in NPPESFeb 13, 2017
Details
- NPI
- 1669911517
- Entity type
- Individual (NPI-1)
- Name
- Kenta Miyazaki
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2017
- Last updated
- Feb 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 002627-1 | NY | Yes |
Practice location
101 Broad StreetSuny Plattsburgh,
Plattsburgh, NY 12901
Phone 518-564-3089
Mailing address
101 Broad StreetSuny Plattsburgh,
Plattsburgh, NY 12901
Phone 518-564-3089
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Other Athletic Trainer providers in Plattsburgh, NY
- Jonathan Edwards, ATCNPI 1639779309
- Jason A. Pachter, MA, ATC, CSCSNPI 1932424207
- Maria ShavalierNPI 1013558071
- Lisa Ann Vicencio, ATCNPI 1235775768
All 5 Athletic Trainer providers in Plattsburgh · All 1,665 providers in Plattsburgh
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