NPI 1023153806

Keith William Skinner, ATC

Practitioner Athletic Trainer Glen Gardner, NJ

Practice location

Address: 256 County Road 513, Glen Gardner, NJ 08826-6430
Phone: (908) 638-2199
Mailing address: 1475 Stoke Park Rd, Bethlehem, PA 18017-2232

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00077600 (NJ)

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1023153806
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2007
Record last updated: 8 Jul 2007

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.