Mandy S Horner, MED, ATC
Individual provider Active NPI Athletic Trainer · Millheim, PA
NPI 1295761179 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295761179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT003122 (PA)
- Practice address
- 135 Penn St
Millheim, PA 16854 - Phone
- (814) 422-8478
- NPI assigned
- Jun 23, 2006
- 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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT003122 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT003122 | PA | Yes |
Addresses
Primary practice location
135 Penn St
Millheim, PA 16854
Mailing address
PO Box 404
Millheim, PA 16854-0404
Other providers in Millheim, PA
All providers in Millheim, 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 Jul 8, 2007. 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.