Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BENJAMIN L WIDDER, ATC
ActiveMR. BENJAMIN L WIDDER, ATC is a Athletic Trainer healthcare provider located in BOILING SPRINGS, Pennsylvania. NPI 1174597603 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BOILING SPRINGS, PA
Registration Details
- NPI Number
- 1174597603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2006 (20.474303520397 yrs)
- Last Updated
- Jul 8, 2007
- License
-
RT000941A (PA)
Practice Information
- Address
-
4 FORGE RDBOILING SPRINGS, PA, 170079444Browse PA providers · Browse ZIP 17007
- Phone
- 7172586484
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BOILING SPRINGS, PA
| Name | Credential | NPI |
|---|---|---|
| JUSTIN LEWIS | ATC | 1306349410 |
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.