Whalio Doctors

NPI 1063544179

Mark Warren Huntington, ATCPT

Practitioner Athletic Trainer North Manchester, IN

Practice location

Address
604 E College Ave, North Manchester, IN 46962-1276
Phone
(260) 982-5033
Fax
(260) 982-5032
Mailing address
903 State Road 114 E, North Manchester, IN 46962-9382

Registered specialties (2)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 36000081A (IN)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1268 (IN)

Registry record

NPI
1063544179
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Mar 2007
Record last updated
13 Feb 2012

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.