Whalio Doctors

NPI 1750416749

John Entriken, ATC

Practitioner Athletic Trainer Kutztown, PA

Practice location

Address
15200 Kutztown Rd Kutztown Sports Medicine, Kutztown, PA 19530-9335
Phone
(610) 683-4085
Mailing address
369 N Kemp St, Kutztown, PA 19530-1241

Registered specialties

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT000660A (PA)

Registry record

NPI
1750416749
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 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.