National Provider Identifier
Stephanie K Habecker, MS, LAT, CSCS, ATC
Stephanie K Habecker, MS, LAT, CSCS, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Macedon, NY and a listed phone number of (315) 986-4655.
Profile Overview
- NPI
- 1073934246
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- December 13, 2013
- Last Updated
- March 04, 2021
Practice Location
- 1900 Route 31
- Suite 12
- Macedon, NY 14502-8943
Phone: (315) 986-4655
Mailing Address
- 300 Pulteney Street
- Bristol Gym
- Geneva, NY 14456
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1073934246
- Entity Type
- Individual
- Last Name
- Habecker
- First Name
- Stephanie
- Middle Name
- K
- Credential
- MS, LAT, CSCS, ATC
- Mailing Street Address
- 300 Pulteney Street
- Mailing Address Line 2
- Bristol Gym
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456
- Mailing Country
- US
- Mailing Phone
- (315) 781-3568
- Practice Street Address
- 1900 Route 31
- Practice Address Line 2
- Suite 12
- Practice City
- Macedon
- Practice State
- NY
- Practice ZIP Code
- 14502-8943
- Practice Country
- US
- Practice Phone
- (315) 986-4655
- Enumeration Date
- December 13, 2013
- Last Updated
- March 04, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)