Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYLAN JON BAXENDELL, MS, LAT, ATC
Active Sole ProprietorDYLAN JON BAXENDELL, MS, LAT, ATC is a Athletic Trainer healthcare provider located in JOHNSTOWN, Pennsylvania. NPI 1124531629 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JOHNSTOWN, PA
Registration Details
- NPI Number
- 1124531629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2017 (8.7256205610099 yrs)
- Last Updated
- Nov 7, 2017
- License
-
RT006195 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
450 SCHOOLHOUSE RDJOHNSTOWN, PA, 159042912Browse PA providers · Browse ZIP 15904
- Phone
- 4129920936
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in JOHNSTOWN, PA
| Name | Credential | NPI |
|---|---|---|
| LEXI M BOSWELL | MS, ATC | 1619942224 |
| MS. MARIANN MCCOWAN | MS, ATC, CSCI | 1760625743 |
| MRS. KOSIE L SHEPHERD-PORADA | MS, ATC | 1477796456 |
| JASON LONESKY | ATC | 1922498179 |
| ELISSA TILL | ATC | 1013450790 |
| TAYLOR R MOSTOLLER | — | 1194320689 |
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.