Individual
KIANA PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
235 W BLUE LAGOON DR, CASA GRANDE, AZ 85122-4991
(520) 483-0686
Mailing address
235 W BLUE LAGOON DR, CASA GRANDE, AZ 85122-4991
(520) 483-0686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009046
AZ
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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