Individual
SEAN M VENCKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
205 SPRAGINS HALL, HUNTSVILLE, AL 35899-0001
(703) 656-6886
Mailing address
30 ASTORIA LN SE, GURLEY, AL 35748-0801
(703) 656-6886
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1387
AL
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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