Colby Imler
Individual provider Active NPI Athletic Trainer · New Enterprise, PA
NPI 1902583669 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1902583669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 2610 Lafayette Rd
New Enterprise, PA 16664-9839 - Phone
- (814) 312-6778
- NPI assigned
- Jul 3, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
2610 Lafayette Rd
New Enterprise, PA 16664-9839
Mailing address
2610 Lafayette Rd
New Enterprise, PA 16664-9839
Phone (814) 312-6778
Other providers in New Enterprise, PA
- Joseph Breton
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- Andrea Jean Musselman
- Stephanie Lynn Over
- Lisa Ann Phipps
- Amy Price
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All providers in New Enterprise, 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 3, 2023. 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.