Michael Piekarski
Individual provider Active NPI Athletic Trainer · Russiaville, IN
NPI 1336436617 · NPPES record last updated Jul 7, 2011
Key facts
- NPI
- 1336436617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 8063 Circling Hawk Dr
Russiaville, IN 46979-9158 - Phone
- (765) 271-2611
- NPI assigned
- Jul 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
8063 Circling Hawk Dr
Russiaville, IN 46979-9158
Mailing address
8063 Circling Hawk Dr
Russiaville, IN 46979-9158
Other providers in Russiaville, IN
- Abby Merrell
- Lisa Montgomery
- Mosaic Healthcare LLC
- Sherri C Nuss
- Optimal Audiology, LLC
- Martin Walter Pruss
- Rachelle Steiner, M.D.
- Russiaville Ambulance Service Inc.
- Russiaville Volunteer Fire Department Inc.
- Clinton Paul Scruggs
All providers in Russiaville, IN · Athletic Trainer in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.