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

JASON LUTY, ATC

Active Sole Proprietor

JASON LUTY, ATC is a Athletic Trainer healthcare provider located in WALLINGFORD, Pennsylvania. NPI 1659706943 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WALLINGFORD, PA

Registration Details

NPI Number
1659706943
Provider Type
Individual
Gender
Male
NPI Issued
Sep 5, 2013 (12.900793276622 yrs)
Last Updated
Sep 5, 2013
Sole Proprietor
Yes

Practice Information

Address
205 S PROVIDENCE RD
WALLINGFORD, PA, 190866333
Browse PA providers · Browse ZIP 19086
Phone
6103107690
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WALLINGFORD, PA

Name Credential NPI
KAITLIN FIONNA LEDDY ATC 1609282557
MR. ANDREW PAUL BUCKO ATC, LAT 1487200473
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.