Kathryn A Peck, ATC, CMT
Specialist/Technologist, Athletic Trainer in Newton, Massachusetts
1780806695- Practice location
- 1113 Washington St., Newton, MA 02465
- Phone
- 508-245-2922
- Fax
- —
- Last updated
- July 8, 2007
Kathryn Aa Peck is a Specialist/Technologist, Athletic Trainer based in Newton, MA. Kathryn Aa Peck practices in Newton, MA and has the professional credentials of ATC, CMT. The NPI Number for Kathryn Aa Peck is 1780806695 and holds a License No. 358 (MA). The current practice location address for Kathryn Aa Peck is 1113 Washington St., Newton, MA 02465 and can be reached out via phone at 508-245-2922.
Provider Profile Details
- NPI Number
- 1780806695
- Provider Name
- Kathryn Aa Peck
- Credential
- ATC, CMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1113 Washington St., Newton, MA 02465
- Phone Number
- 508-245-2922
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1113 Washington St.
Newton, MA 02465 - City
- Newton
- State
- Massachusetts
- Zip
- 02465
- Phone Number
- 508-245-2922
Provider Business Mailing Address Details
- Address
- 33 Lawrence St.
Framingham, MA 01702 - City
- Framingham
- State
- MA
- Zip
- 01702
- Phone Number
- 508-872-2247
License Information
- License Number
- 358
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kathryn A Peck, ATC, CMT?
The NPI number of Kathryn A Peck, ATC, CMT is 1780806695. It was assigned on May 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Kathryn A Peck, ATC, CMT?
Kathryn A Peck, ATC, CMT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 358.
Where does Kathryn A Peck, ATC, CMT practice?
The practice location is 1113 Washington St., Newton, MA 02465. The office can be reached at 508-245-2922 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780806695 directly on the NPPES registry website.