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

Shawn Kristopher Petrucci

Individual provider Athletic Trainer · NPI 1689178154

Shawn Kristopher Petrucci is an Athletic Trainer in Wakefield, Rhode Island. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

153 Kings Ridge Rd
Wakefield, RI 02879-7675
Phone: (401) 575-7122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1689178154
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESMarch 20, 2018
Mailing address153 Kings Ridge Rd, Wakefield, RI 02879-7675

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