Individual
STEPHANIE K HABECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, CSCS, ATC
Contact information
Practice address
1900 ROUTE 31, SUITE 12, MACEDON, NY 14502-8943
(315) 986-4655
Mailing address
300 PULTENEY STREET, BRISTOL GYM, GENEVA, NY 14456
(315) 781-3568
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002419-1
NY
Other
Enumeration date
12/13/2013
Last updated
03/04/2021
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