Brandon Nolt, MS, ATC
Individual provider Active NPI Athletic Trainer · Kutztown, PA
NPI 1891833091 · NPPES record last updated Sep 27, 2007
Key facts
- NPI
- 1891833091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT003490 (PA)
- Practice address
- Keystone Hall Room 120
Kutztown University
Kutztown, PA 19530 - Phone
- (610) 683-4085
- Fax
- (610) 683-4664
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- 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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT003490 | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT003490 | PA | Yes |
Addresses
Primary practice location
Keystone Hall Room 120
Kutztown University
Kutztown, PA 19530
Mailing address
262 Degler Ave
Leesport, PA 19533-9514
Other providers in Kutztown, PA
- Amber Merkel
- William J Messersmith
- Ibram N Mikhail
- Jennifer Marie Mongi
- Shonda Bear Moralis
- Northeastern Berks Emergency Medical Service, Inc.
- Northern Berks Psychological Services
- Novacare Outpatient Rehabilitation East, Inc.
- Pennsylvania CVS Pharmacy, L.L.C.
- Megan Petty
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 Sep 27, 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.