Michael Colacicco
Michael Colacicco is an Athletic Trainer in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
17119 Cedar DrEdmond, OK 73012-6888
Phone: (908) 642-7957
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 613 (OK) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 613 (OK) |
Record details
| NPI number | 1831585736 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2015 |
| Last updated in NPPES | April 8, 2015 |
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