Individual
MR. MICHAEL JOHN KOYACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, PES
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(855) 937-7678
Mailing address
500 TRIPOLI ST APT 202, PITTSBURGH, PA 15212-4884
(716) 863-7710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004355
PA
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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