Monica Elizabeth Anderson, LAT, ATC, CES
Individual provider Active NPI Athletic Trainer · Williamsport, PA
NPI 1215068382 · NPPES record last updated Jan 17, 2017
Key facts
- NPI
- 1215068382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT004108 (PA)
- Practice address
- 2990 W 4TH St
Williamsport, PA 17701-4197 - Phone
- (570) 327-5500
- NPI assigned
- Mar 8, 2007
- 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 |
|---|---|---|---|
| RT004108 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT004108 | PA | Yes |
Addresses
Primary practice location
2990 W 4TH St
Williamsport, PA 17701-4197
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Other providers in Williamsport, PA
- Amedisys Pennsylvania LLC
- American Homepatient, Inc.
- Bruce G Anderson
- Elizabeth Anderson
- Karla Anderson
- Tonya Rene Anderson
- Christian Androvette
- Anesthesia Associates of Williamsport, Inc
- Katie Angelelli
- Sophia Elizabeth Annicelli
All providers in Williamsport, 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 Jan 17, 2017. 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.