NPI 1700888120

Les Dutko, EDDLATATC

Practitioner Athletic Trainer Hagerstown, MD

Practice location

Address: 222 E Oak Ridge Dr Suite 1800, Hagerstown, MD 21740-7858
Phone: (301) 739-0090
Fax: (301) 739-0288
Mailing address: 103 Noahs CT, Martinsburg, WV 25404-5459

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126000603 (VA)

Other Specialist/Technologist providers in Maryland →

Registry record

NPI: 1700888120
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2005
Record last updated: 31 Jul 2009

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.