National Provider Identifier
Teresa Soyon Paek, ATC
Teresa Soyon Paek, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Orchard Park, NY and a listed phone number of (716) 312-8812.
Profile Overview
- NPI
- 1659000156
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- June 09, 2022
- Last Updated
- June 16, 2023
Practice Location
- 1 Bills Dr
- Orchard Park, NY 14127-2237
Phone: (716) 312-8812
Mailing Address
- 6031 Clubhouse Ln
- Mukilteo, WA 98275-5027
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1659000156
- Entity Type
- Individual
- Last Name
- Paek
- First Name
- Teresa
- Middle Name
- Soyon
- Credential
- ATC
- Mailing Street Address
- 6031 Clubhouse Ln
- Mailing City
- Mukilteo
- Mailing State
- WA
- Mailing ZIP Code
- 98275-5027
- Mailing Country
- US
- Practice Street Address
- 1 Bills Dr
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2237
- Practice Country
- US
- Practice Phone
- (716) 312-8812
- Enumeration Date
- June 09, 2022
- Last Updated
- June 16, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 16, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)