Provider Demographics
NPI:1902862428
Name:STRUK, AIMEE MICHELLE (ATC)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:MICHELLE
Last Name:STRUK
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3450 HULL ROAD/P.O. BOX 112727
Mailing Address - Street 2:UF ORTHOPAEDICS & SPORTS MEDICINE INST/DIV OF RESEARCH
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607
Mailing Address - Country:US
Mailing Address - Phone:352-273-7419
Mailing Address - Fax:
Practice Address - Street 1:3450 HULL ROAD
Practice Address - Street 2:UF ORTHOPAEDICS & SPORTS MEDICINE INST/DIV OF RESEARCH
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607
Practice Address - Country:US
Practice Address - Phone:352-273-7419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL21422255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer