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Contact Information

ALEXANDRA E VLADYKA, DAT, LAT, CSCS
3100 S. CRAYCROFT ROAD
79TH SQUADRON
TUCSON, AZ85707
 Phone: 425-508-4948
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ALEXANDRA E VLADYKA · (Female)

NPI # 1912351529
Status Active
Credentials DAT, LAT, CSCS
Entity Individual
Enumeration date 04/20/2016
Last updated 02/27/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # ATR-008903
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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