Michael Garrett Polascik, ATC

Athletic Trainer · Jacksonville, AL

Individual Active NPI

NPI number 1104336627

Practice location

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

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NPI record

NPI
1104336627
Entity type
Individual (Type 1)
Enumeration date
October 11, 2017
Last updated
October 11, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2072 AL

About Michael Polascik

Michael Garrett Polascik, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 700 Pelham Rd N, Jacksonville, AL 36265-1602. The NPI number 1104336627 was assigned on October 11, 2017 and the record was last updated on October 11, 2017.

Michael Polascik lists a license in the registry: #2072 (AL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Garrett Polascik, ATC?

The NPI number is 1104336627.

What is the phone number of Michael Polascik?

The phone number listed for the practice location is (256) 782-5369.

Where is Michael Polascik located?

700 Pelham Rd N, Jacksonville, AL 36265-1602.

What is the taxonomy code for Michael Polascik?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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