Stacy Slack

Athletic Trainer · Fairview Park, OH

Individual Active NPI

NPI number 1255491916

Practice location

21225 Lorain Rd
Fairview Park, OH 44126-2120
Phone
(440) 331-3180

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NPI record

NPI
1255491916
Entity type
Individual (Type 1)
Enumeration date
December 11, 2006
Last updated
October 1, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT 002032 OH

About Stacy Slack

Stacy Slack is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 21225 Lorain Rd, Fairview Park, OH 44126-2120. The NPI number 1255491916 was assigned on December 11, 2006 and the record was last updated on October 1, 2013.

Stacy Slack lists a license in the registry: #AT 002032 (OH) 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 Stacy Slack?

The NPI number is 1255491916.

What is the phone number of Stacy Slack?

The phone number listed for the practice location is (440) 331-3180.

Where is Stacy Slack located?

21225 Lorain Rd, Fairview Park, OH 44126-2120.

What is the taxonomy code for Stacy Slack?

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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