Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK L NISSLEY, ATC
Active Sole ProprietorDEREK L NISSLEY, ATC is a Athletic Trainer healthcare provider located in MOUNT JOY, Pennsylvania. NPI 1235216300 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MOUNT JOY, PA
Registration Details
- NPI Number
- 1235216300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.816407067132 yrs)
- Last Updated
- Nov 30, 2018
- License
-
RT002083A (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1025 KOSER RDMOUNT JOY, PA, 17552Browse PA providers · Browse ZIP 17552
- Phone
- 7173149537
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MOUNT JOY, PA
| Name | Credential | NPI |
|---|---|---|
| DECLAN PAUL BARBER | — | 1265990444 |
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.