STEPHEN MICHAEL PANTELEAKOS LAT ATC NPI 1700403938

NPI Information

Stephen Michael Panteleakos, LAT, ATC is a student in an organized health care education training program in Jblm, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Stephen Michael Panteleakos, LAT, ATC NPI is 1700403938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

RAILROAD AVE
BLDG 3655
JBLM, WA
ZIP 98433
Phone: (253) 967-1110

The enumeration date for this NPI number is 7/3/2020 and was last updated on 8/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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