Stacey L Penvose in Millersburg - Athletic Trainer
Stacey L Penvose - NPI 1912184425
Stacey L Penvose is a Athletic Trainer in Millersburg, Pennsylvania. Stacey L Penvose practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Stacey L Penvose is 1912184425. The last update date is 2008-01-28.
Stacey L Penvose's current location address is 75 Evelyn Dr, Millersburg, Pennsylvania. You can contact this provider via phone number 7176924708. The mailing address for Stacey L Penvose is 75 Evelyn Dr, Millersburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey L Penvose |
|---|---|
| Address | 75 Evelyn Dr, Millersburg, Pennsylvania |
| Phone Number | 7176924708 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1912184425 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2008-01-28 |
Provider Mailing Address Detail
| Address | 75 Evelyn Dr |
|---|---|
| City | Millersburg |
| State | Pennsylvania (PA) |
| Post Code | 170611258 |
| Phone Number | 7176924708 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | RTO000041 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stacey L Penvose by the Centers for Medicare & Medicaid Services?
The Stacey L Penvose has been issued the NPI (National Provider Identifier) 1912184425, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stacey L Penvose is physically located?
The Stacey L Penvose is situated at the following address: 75 Evelyn Dr, Millersburg, PA 170611258.
What is Stacey L Penvose's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacey L Penvose is Athletic Trainer, and the taxonomy code that categorizes this field of expertise is 2255A2300X.
On what date was the 1912184425 assigned to Stacey L Penvose?
The Stacey L Penvose was issued its 1912184425 on 2008-01-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Stacey L Penvose, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stacey L Penvose, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-28.
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