Individual
CARTER GIANACAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4577 QUAIL CREEK TRCE N, PITTSBORO, IN 46167-8705
(630) 788-3595
Mailing address
4577 QUAIL CREEK TRCE N, PITTSBORO, IN 46167-8705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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