John Entriken, ATC
Individual provider Active NPI Athletic Trainer · Kutztown, PA
NPI 1750416749 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750416749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT000660A (PA)
- Practice address
- 15200 Kutztown Rd
Kutztown Sports Medicine
Kutztown, PA 19530-9335 - Phone
- (610) 683-4085
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|
| RT000660A | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT000660A | PA | Yes |
Addresses
Primary practice location
15200 Kutztown Rd
Kutztown Sports Medicine
Kutztown, PA 19530-9335
Mailing address
369 N Kemp St
Kutztown, PA 19530-1241
Phone (610) 683-6748
Other providers in Kutztown, PA
- Jennifer Lynn Eckert
- Arabel Joan Elliott
- Glenn Elliott
- En Gedi Psychological Services LLC
- Amy Penrose Entriken
- William R Epes
- Family Marriage and Life Counseling Inc.
- Sophia Rose Febbraro
- Nicole Fehr
- Jodi Lynn Follweiler
All providers in Kutztown, 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 Jul 8, 2007. 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.