Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WESLEY R. MALLICONE, MS, ATC
ActiveMR. WESLEY R. MALLICONE, MS, ATC is a Athletic Trainer healthcare provider located in SHIPPENSBURG, Pennsylvania. NPI 1841287430 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SHIPPENSBURG, PA
Registration Details
- NPI Number
- 1841287430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2005 (20.833895233621 yrs)
- Last Updated
- Jul 8, 2007
- License
-
RT002265A (PA)
Practice Information
- Address
-
1871 OLD MAIN DRSHIPPENSBURG, PA, 172572200Browse PA providers · Browse ZIP 17257
- Phone
- 7174771749
- Fax
- 7174774070
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SHIPPENSBURG, PA
| Name | Credential | NPI |
|---|---|---|
| THOMAS EDWARD HORST | ATC | 1851335947 |
| VINCENT AMIGH | ATC | 1528095221 |
| TANYA LOUISE MILLER | MS, LAT, ATC, CES | 1902834112 |
| MR. JOSEPH JAMES THEIS | ATC | 1982786398 |
| NICOLE MARIE DIETRICH | ATC | 1568536662 |
| REBECCA SUE FITZ | ATC | 1245364827 |
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.