Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY W DILLON, MS,ATC,LAT, LMT, PES
Active Sole ProprietorRANDY W DILLON, MS,ATC,LAT, LMT, PES is a Athletic Trainer healthcare provider located in PROSPECT PARK, Pennsylvania. NPI 1043810021 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PROSPECT PARK, PA
Registration Details
- NPI Number
- 1043810021
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2020 (5.7753828867318 yrs)
- Last Updated
- Oct 28, 2024
- Licenses
-
MSG010353 (PA)RT003236 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
617C CHESTER PIKEPROSPECT PARK, PA, 190761506Browse PA providers · Browse ZIP 19076
- Phone
- 2678008031
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in PROSPECT PARK, PA
| Name | Credential | NPI |
|---|---|---|
| JON R MATHIS | — | 1063970291 |
| APRIL LEFFLER | MA | 1154967867 |
| KELSEY ELIZABETH KIENZLE | MS, LAT, ATC | 1124668736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.