NPI 1023045903

Anthony Kenneth Peck, ATC

Practitioner Athletic Trainer U S a F Academy, CO

Practice location

Address: 2169 Field House Dr, U S a F Academy, CO 80840-9599
Phone: (719) 333-0218
Fax: (719) 333-0204
Mailing address: 3775 Birdie CT, Colorado Springs, CO 80922-3064

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Colorado →

Registry record

NPI: 1023045903
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.