Jennifer Wally Blystone, ATC, EMT Valid NPI

Individual provider · Athletic Trainer · Indiana, PA

NPI

1912147893

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

RT001482A (PA)

Sex

Female

Sole proprietor

Yes

Enumerated

2009-03-04

Last updated

2009-03-04