NPI 1104336627

Michael Garrett Polascik, ATC

Practitioner Athletic Trainer Jacksonville, AL

Practice location

Address: 700 Pelham Rd N, Jacksonville, AL 36265-1602
Phone: (256) 782-5369

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2072 (AL)

Other Specialist/Technologist providers in Alabama →

Registry record

NPI: 1104336627
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2017
Record last updated: 11 Oct 2017

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.