NPI 1689178154

Shawn Kristopher Petrucci

Practitioner Athletic Trainer Wakefield, RI

Practice location

Address: 153 Kings Ridge Rd, Wakefield, RI 02879-7675
Phone: (401) 575-7122

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Rhode Island →

Registry record

NPI: 1689178154
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2018
Record last updated: 20 Mar 2018

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.