Individual
KRISTA PECENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
392 S DONAHUE DR, AUBURN, AL 36849-6837
(847) 714-6074
Mailing address
1322 N DEAN RD APT 612, AUBURN, AL 36830-7640
(847) 714-6074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
77300
MD
2255A2300X
Athletic Trainer
Primary
PENDING
AL
390200000X
Student in an Organized Health Care Education/Training Program
77300
MD
Other
Enumeration date
03/15/2015
Last updated
07/21/2022
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