Whalio Doctors

NPI 1023530961

Nicholas Custar, ATATCCSCS

Practitioner Athletic Trainer Alliance, OH

Practice location

Address
1972 Clark Ave, Alliance, OH 44601
Phone
(330) 823-4105
Mailing address
1972 Clark Ave, Alliance, OH 44601-3929

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT.004418 (OH)

Registry record

NPI
1023530961
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jul 2017
Record last updated
12 Jul 2017

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.