Danielle M Duffy, LAT ATC
Individual provider Active NPI Athletic Trainer · Glenside, PA
NPI 1164077574 · NPPES record last updated Aug 3, 2019
Key facts
- NPI
- 1164077574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT005993 (PA)
- Practice address
- 450 S Easton Rd
Glenside, PA 19038-3215 - Phone
- (215) 572-2848
- NPI assigned
- Aug 3, 2019
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005993 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005993 | PA | Yes |
Addresses
Primary practice location
450 S Easton Rd
Glenside, PA 19038-3215
Mailing address
450 S Easton Rd
Glenside, PA 19038-3215
Phone (215) 572-2848
Other providers in Glenside, PA
- Ann Marie Donohue
- Dr. Benjamin K Azizi
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- DRS. Marcy and Newell
- Catherine Ducommun-Nagy
- George Dugan
- Tara Dugan
- Dynamic Modern Dentistry
- Dynamic Modern Dentistry at Keswick Village PLLC
- Amy Earnest
All providers in Glenside, 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 Aug 3, 2019. 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.