Whalio Doctors

NPI 1184750572

Martha Jane Anderson, ATC

Practitioner Athletic Trainer Kutztown, PA

Practice location

Address
Kutztown University Sports Medicine Kutztown University, Kutztown, PA 19530-9446
Phone
(610) 683-4085
Mailing address
800 Golden Dr APT C17, Blandon, PA 19510-9446

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT001363A (PA)

Registry record

NPI
1184750572
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 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.