Jennifer Maryniak, ATC, MED., CSCS
Individual provider Active NPI Athletic Trainer · Laureldale, PA
NPI 1770632242 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770632242
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT001529A (PA)
- Practice address
- Sharp & Francis Streets
Laureldale, PA 19605 - Phone
- (610) 921-8078
- Fax
- (610) 921-7922
- NPI assigned
- Jan 10, 2007
- 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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT001529A | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT001529A | PA | Yes |
Addresses
Primary practice location
Sharp & Francis Streets
Laureldale, PA 19605
Mailing address
2 Musket LN
Shillington, PA 19607-9541
Phone (610) 921-8078
Other providers in Laureldale, PA
- Joseph L Simmons Inc
- Michael John Kaminskas III
- James Adedire Kehinde
- Laureldale Family Medicine, PC
- Manor Care of Laureldale PA, LLC
- David Scott McCall
- Sherry L Milchick
- Maureen Miller
- Debbey Lou Moser
- Muhlenberg School District
All providers in Laureldale, 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.