Whalio Doctors

NPI 1558444356

Renard Michael Sacco, ATC

Practitioner Athletic Trainer Kutztown, PA

Practice location

Address
Kutztown University Keystone Hall, Sports Medicine Office, Rm 120, Kutztown, PA 19530
Phone
(610) 683-4085
Fax
(610) 683-4664
Mailing address
35 Ironstone Dr, Reading, PA 19606-2946

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT000505A (PA)

Registry record

NPI
1558444356
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Oct 2006
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.