National Provider Identifier
Krista Marie Mau
Krista Marie Mau is listed in the NPPES registry with a primary specialty of Athletic Trainer in Depew, NY and a listed phone number of (716) 939-0630.
Profile Overview
- NPI
- 1770016479
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- April 10, 2017
- Last Updated
- October 19, 2020
Practice Location
- 1175 Penora St
- Depew, NY 14043-4505
Phone: (716) 939-0630
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1770016479
- Entity Type
- Individual
- Last Name
- Mau
- First Name
- Krista
- Middle Name
- Marie
- Mailing Street Address
- 1175 Penora St
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-4505
- Mailing Country
- US
- Mailing Phone
- (716) 939-0630
- Practice Street Address
- 1175 Penora St
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-4505
- Practice Country
- US
- Practice Phone
- (716) 939-0630
- Enumeration Date
- April 10, 2017
- Last Updated
- October 19, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 19, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)