NPI 1043791072

Mary Pesicka, ATC

Practitioner Athletic Trainer Nevada, MO

Practice location

Address: 1000 W Austin Blvd, Nevada, MO 64772-2763
Phone: (417) 667-8181

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2018026629 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1043791072
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2018
Record last updated: 1 Mar 2021

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.