Christopher Rossi

Individual provider Active NPI Athletic Trainer · Bushkill, PA

NPI 1881084580 · NPPES record last updated Feb 2, 2015

Key facts

NPI
1881084580
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
RT003341 (PA)
Practice address
279 Timberwolf DT
Bushkill, PA 18328-7772
Phone
(570) 588-4420
NPI assigned
Feb 2, 2015
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

LicenseStateTypeSpecialty
RT003341PAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X RT003341 PA Yes

Addresses

Primary practice location

279 Timberwolf DT
Bushkill, PA 18328-7772

Mailing address

279 Timberwolf Dr
Dingmans Ferry, PA 18328-7772
Phone (570) 588-4420

Other providers in Bushkill, PA

All providers in Bushkill, PA · Athletic Trainer in Pennsylvania

Sources for this page

Verify at the official NPI Registry.