Active NPIIndividual providerSole proprietor

Keenan Wysocki

Specialist/Technologist, Athletic Trainer in Sheffield, Massachusetts

NPI Number1962311746
Practice location
245 N Undermountain RD, Sheffield, MA 01257-9638
Fax
—
Last updated
September 5, 2026

Keenan Wysocki is a Specialist/Technologist, Athletic Trainer based in Sheffield, MA. Keenan Wysocki practices in Sheffield, MA. The NPI Number for Keenan Wysocki is 1962311746. The current practice location address for Keenan Wysocki is 245 N Undermountain RD, Sheffield, MA 01257-9638 and can be reached out via phone at 413-717-2469.

Provider Profile Details

NPI Number
1962311746
Provider Name
Keenan Wysocki
Provider Entity Type
Individual
Gender
Male
Address
245 N Undermountain RD, Sheffield, MA 01257-9638
Phone Number
413-717-2469
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2026
Last Update Date
September 5, 2026
Certification Date
September 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
245 N Undermountain RD
Sheffield, MA 01257-9638
Zip
01257-9638
Phone Number
413-717-2469
Sheffield, MA 01257Get directions →

Provider Business Mailing Address Details

Address
245 N Undermountain RD
Sheffield, MA 01257-9638
City
Sheffield
State
MA
Zip
01257-9638
Phone Number
413-717-2469

License Information

License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Keenan Wysocki?

The NPI number of Keenan Wysocki is 1962311746. It was assigned on September 5, 2026 and is currently active in the NPPES registry.

What is the specialty of Keenan Wysocki?

Keenan Wysocki is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Keenan Wysocki practice?

The practice location is 245 N Undermountain RD, Sheffield, MA 01257-9638. The office can be reached at 413-717-2469 (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 1962311746 directly on the NPPES registry website.

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