Stephanie Marian Crispell, ATC, EMT-B

Individual provider Active NPI Athletic Trainer · Lewisberry, PA

NPI 1427596154 · NPPES record last updated Feb 1, 2017

Key facts

NPI
1427596154
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
510 Industrial Dr
Lewisberry, PA 17339-9597
Phone
(717) 919-3252
NPI assigned
Feb 1, 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

State licenses

LicenseStateTypeSpecialty
216361PAMDBasic Emergency Medical Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 216361 PA
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

510 Industrial Dr
Lewisberry, PA 17339-9597

Mailing address

5949 W Raymond St
Indianapolis, IN 46241-4348
Phone (800) 974-5774

Other identifiers

IdentifierTypeStateIssuer
216361OtherPAPA DEPARTMENT OF HEALTH - EMT-B

Other providers in Lewisberry, PA

All providers in Lewisberry, PA · Athletic Trainer in Pennsylvania

Sources for this page

Verify at the official NPI Registry.