Hannah G Jaussen, MS, ATC, LAT, PES

Individual provider Active NPI Athletic Trainer · Loretto, PA

NPI 1376978882 · NPPES record last updated Sep 4, 2013

Key facts

NPI
1376978882
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
RT005266 (PA)
Practice address
140 Lakeview Dr
Loretto, PA 15940-9734
Phone
(814) 472-2820
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
Yes

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 Science

State licenses

LicenseStateTypeSpecialty
RT005266PAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT005266 PA Yes

Addresses

Primary practice location

140 Lakeview Dr
Loretto, PA 15940-9734

Mailing address

140 Lakeview Dr
Loretto, PA 15940-9734
Phone (814) 472-2820

Other providers in Loretto, PA

All providers in Loretto, PA · Athletic Trainer in Pennsylvania

Sources for this page

Verify at the official NPI Registry.