MEDICARE: KATHRYN AA PECK ATC, CMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	358	MA

General Provider Information

NPI Number	:	1780806695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN AA PECK ATC, CMT

Provider Business Mailing Address
First Line	:	33 LAWRENCE ST.
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702
Country	:	US
Telephone Number	:	508-872-2247
Fax Number	:

Provider Business Practice Location Address
First Line	:	1113 WASHINGTON ST.
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02465
Country	:	US
Telephone Number	:	508-245-2922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396746681 — ARTHUR J. BARSKY M.D.
Practice Location Address:

268 PRINCE ST
W NEWTON, MA
02465-2920

Practice Phone: 617-732-5236
Practice Fax: 617-278-6907

1457343980 — DR. SUSAN D SIROTY PSY.D.
Practice Location Address:

1075 WASHINGTON ST
WEST NEWTON, MA
02465-2185

Practice Phone: 617-965-1885
Practice Fax:

1326029166 — DR. JEFFREY BRIAN MENDEL MD
Practice Location Address:

180 OTIS STREET
NEWTON, MA
02465-2524

Practice Phone: 617-237-0374
Practice Fax:

1942283338 — DR. ROHN SAMUEL FRIEDMAN M.D.
Practice Location Address:

320 OTIS ST
WEST NEWTON, MA
02465-2566

Practice Phone: 617-332-7685
Practice Fax:

1679557664 — JILL BLUM MILLIS MSW
Practice Location Address:

70 STERLING ST
WEST NEWTON, MA
02465-2635

Practice Phone: 617-527-7188
Practice Fax:

1083689426 — DR. ROCHELLE RAME FRIEDMAN MD
Practice Location Address:

304 OTIS ST
WEST NEWTON, MA
02465

Practice Phone: 617-965-0536
Practice Fax: 617-795-1880

1548236722 — DR. LEONARD CHARLES MARCUS M.D.
Practice Location Address:

1555 COMMONWEALTH AVE
NEWTON, MA
02465-2800

Practice Phone: 617-527-4003
Practice Fax: 617-964-6111

Directions to “ KATHRYN AA PECK ATC, CMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.