Healthcare Provider Details

I. General information

NPI: 1043198807
Provider Name (Legal Business Name): ARIEL PINKNEY ATC, LAT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18116 MCCRACKEN RD
MAPLE HEIGHTS OH
44137-1520
US

IV. Provider business mailing address

18116 MCCRACKEN RD
MAPLE HEIGHTS OH
44137-1520
US

V. Phone/Fax

Practice location:
  • Phone: 216-832-1091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT006133
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: