Dylan Mikel Pavka, AT, ATC

Athletic Trainer · Big Rapids, MI

Individual Active NPI

NPI number 1124752332

Practice location

210 Sports Dr
Big Rapids, MI 49307-2715
Phone
(989) 494-8594

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NPI record

NPI
1124752332
Entity type
Individual (Type 1)
Enumeration date
July 13, 2022
Last updated
July 13, 2022
Certified
November 16, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2601002540 MI

About Dylan Pavka

Dylan Mikel Pavka, AT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 210 Sports Dr, Big Rapids, MI 49307-2715. The NPI number 1124752332 was assigned on July 13, 2022 and the record was last updated on July 13, 2022.

Dylan Pavka lists a license in the registry: #2601002540 (MI) 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 Dylan Mikel Pavka, AT, ATC?

The NPI number is 1124752332.

What is the phone number of Dylan Pavka?

The phone number listed for the practice location is (989) 494-8594.

Where is Dylan Pavka located?

210 Sports Dr, Big Rapids, MI 49307-2715.

What is the taxonomy code for Dylan Pavka?

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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