NPI 1639599111

Misty Lynn Motter, ATC

Practitioner Athletic Trainer New Wilmington, PA

Practice location

Address: 319 S Market St, New Wilmington, PA 16172-0002
Phone: (724) 971-6094
Fax: (724) 946-6297
Mailing address: 776 Smalls Ferry Rd, Enon Valley, PA 16120-1324

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT003559 (PA)

Other Specialist/Technologist providers in Pennsylvania →

Registry record

NPI: 1639599111
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2014
Record last updated: 23 Apr 2014

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.