Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Minicozzi, ATC

Individual provider Athletic Trainer · NPI 1093336729

Michael Minicozzi, ATC is an Athletic Trainer in Kathleen, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

95 Duke Ln
Kathleen, GA 31047-3201
Phone: (478) 456-5019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT000952 (GA)

Record details

NPI number1093336729
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMay 5, 2020
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020
Mailing address95 Duke Ln, Kathleen, GA 31047-3201

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