Dale Thornton
Individual provider Active NPI Athletic Trainer · Hunker, PA
NPI 1487009106 · NPPES record last updated May 2, 2016
Key facts
- NPI
- 1487009106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT004964 (PA)
- Practice address
- 378 Sandworks Rd
Hunker, PA 15639-1317 - Phone
- (412) 952-5718
- NPI assigned
- May 2, 2016
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT004964 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT004964 | PA | Yes |
Addresses
Primary practice location
378 Sandworks Rd
Hunker, PA 15639-1317
Mailing address
378 Sandworks Rd
Hunker, PA 15639-1317
Phone (412) 952-5718
Other providers in Hunker, PA
- RHJ Medical Center, Inc
- Mary Lynn Semekoski
- Heatherlee Joy Sittler
- Holly Stants
- Susan A Sweeney
- Linda M Watson
All providers in Hunker, 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 May 2, 2016. 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.