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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DOUGLAS PAUL GANASSI, MED - EX. SCI., ATC

Active Sole Proprietor

MR. DOUGLAS PAUL GANASSI, MED - EX. SCI., ATC is a Athletic Trainer healthcare provider located in WEST MIFFLIN, Pennsylvania. NPI 1104188614 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WEST MIFFLIN, PA

Registration Details

NPI Number
1104188614
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2012 (14.208745361272 yrs)
Last Updated
Dec 2, 2013
Licenses
RT002222A (PA)
AT000369 (GA)
Sole Proprietor
Yes

Practice Information

Address
1750 CLAIRTON ROAD, ROUTE 885
CCAC - SOUTH CAMPUS
WEST MIFFLIN, PA, 151223097
Browse PA providers · Browse ZIP 15122
Phone
4124691100
Fax
4124696254
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in WEST MIFFLIN, PA

Name Credential NPI
RONALD WINES ROSS ATC 1689706269
NICOLE DAVIS 1215471545
ANTHONY JAMES ROTELLA 1831662006
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.