Eric Avila, ATC
Individual provider Active NPI Athletic Trainer · Slippery Rock, PA
NPI 1114293222 · NPPES record last updated Mar 23, 2012
Key facts
- NPI
- 1114293222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1 Morrow Way
Slippery Rock, PA 16057-1313 - Phone
- (347) 251-6302
- NPI assigned
- Mar 23, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1 Morrow Way
Slippery Rock, PA 16057-1313
Mailing address
1 Morrow Way
Slippery Rock, PA 16057-1313
Phone (347) 251-6302
Other providers in Slippery Rock, PA
- David Charles Albert
- Allegheny Clinic
- Allegheny Health Network
- Allied Dental Group
- Jeremy Athelstone
- Shawna Bannister
- Michelle Barron
- Laura A Bateman
- Wendy J Beeching
- Jennifer Michelle Belavic
All providers in Slippery Rock, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.