Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DYLAN CHURCH, LAT,ATC
ActiveDYLAN CHURCH, LAT,ATC is a Athletic Trainer healthcare provider located in SPOTSWOOD, New Jersey. NPI 1902322167 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SPOTSWOOD, NJ
Registration Details
- NPI Number
- 1902322167
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2017 (8.943879245696 yrs)
- Last Updated
- Aug 19, 2017
- License
-
25MT00242600 (NJ)
Practice Information
- Address
-
13 GOLDSMITH DRSPOTSWOOD, NJ, 088841032Browse NJ providers · Browse ZIP 08884
- Phone
- 9082399392
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SPOTSWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| DOMINIQUE CARLSON | — | 1568352920 |
| ZACHARY DAVID RODRIGUEZ | ATC, CSCS | 1184579013 |
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.