MS. Anne Marie Micinski, ATC, LAT
MS. Anne Marie Micinski, ATC, LAT is an Athletic Trainer in South Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
1005 N Hickory RdSouth Bend, IN 46615-3723
Phone: (574) 233-5754
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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 36000188A (IN) |
|---|
Record details
| NPI number | 1912065848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | ATC , LAT |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2006 |
| Last updated in NPPES | July 8, 2007 |
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