NPI 1013315761
Dalton Tice, ATCEMTCFT
Practice location
- Address
- 4901 Green Tree Rd, Reading, PA 19606-3340
- Phone
- (610) 914-6463
Registered specialties (3)
Athletic Trainer
Primary
Athletic Trainer
Basic Emergency Medical Technician
Registry record
- NPI
- 1013315761
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Dec 2014
- Record last updated
- 11 Dec 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.