Donna J Rife, ATC

Individual provider Active NPI Athletic Trainer · Vandergrift, PA

NPI 1720111289 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720111289
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
RT0001069A (PA)
Practice address
200 Poplar St
Vandergrift, PA 15690-1466
Phone
(724) 842-0404
Fax
(724) 845-5011
NPI assigned
Mar 13, 2007
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

State licenses

LicenseStateTypeSpecialty
RT0001069APAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT0001069A PA Yes

Addresses

Primary practice location

200 Poplar St
Vandergrift, PA 15690-1466

Mailing address

2136 Stoops CT.
PO 510
North Apoll, PA 15673-0510
Phone (724) 842-0404

Other providers in Vandergrift, PA

All providers in Vandergrift, PA · Athletic Trainer in Pennsylvania

Sources for this page

Verify at the official NPI Registry.