Macy Kujawa, ATC, LAT
Specialist/Technologist, Athletic Trainer in Niles, MI. Individual provider (NPI-1).
NPI number1962087015
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1962087015
- Entity type
- Individual (NPI-1)
- Name
- Macy Kujawa
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2021
- Certification date
- Mar 10, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | MI | Yes |
Practice location
1522 Silverbrook AveNiles, MI 49120-3811
Phone 269-362-5400
Mailing address
1522 Silverbrook AveNiles, MI 49120-3811
Phone 269-362-5400
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Other Athletic Trainer providers in Niles, MI
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- Robert John Taylor, ATC,CSCS,NASM-PESNPI 1306811245
All 6 Athletic Trainer providers in Niles · All 619 providers in Niles
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