Individual
MR. MICHAEL WAYNE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9102
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00300
LA
Other
Enumeration date
05/17/2007
Last updated
04/19/2026
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