MS. ANNE MARIE MICINSKI ATC, LAT
NPI 1912065848
Specialist/Technologist - Athletic Trainer in South Bend, IN

Q: What is Anne Micinski's NPI number?

The NPI number for Anne Micinski is 1912065848. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Anne Micinski's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Anne Micinski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 04, 2006

1005 N HICKORY RD, SOUTH BEND, IN 46615(574) 233-5754 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Anne Marie Micinski Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANNE MARIE MICINSKI ATC, LAT (NPI 1912065848) is an individual athletic trainer provider in South Bend, Indiana, licensed in Indiana (36000188A) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1912065848

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameMS. ANNE MARIE MICINSKICredential: ATC, LAT

Location Address1005 N HICKORY RDSouth Bend, IN 46615-3723

Mailing Address3718 Fern Hill DrMishawaka, IN 46544-6265 · (574) 257-8512

Phone(574) 233-5754

Sole ProprietorYes

Enumeration DateDecember 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912065848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in IN · 36000188A

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1005 N HICKORY RD, South Bend, IN 46615

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