NPI 1255782587

John Eugene Bistline, LATATC

Practitioner Athletic Trainer Havertown, PA

Practice location

Address: 501 Darby Rd, Havertown, PA 19083-4702
Phone: (610) 675-9583

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT006436 (PA)

Other Specialist/Technologist providers in Pennsylvania →

Registry record

NPI: 1255782587
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2016
Record last updated: 28 Jun 2016

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.