Emily Rachel Dine
Individual provider Active NPI Athletic Trainer · Pella, IA
NPI 1366967101 · NPPES record last updated Aug 12, 2017
Key facts
- NPI
- 1366967101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 812 University
Pella, IA 50219 - Phone
- (877) 462-3687
- NPI assigned
- Aug 12, 2017
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
812 University
Pella, IA 50219
Mailing address
823 Jacaranda Dr
Oldsmar, FL 34677-4566
Phone (813) 925-0527
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 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.