Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER WALLY BLYSTONE, ATC, EMT
Active Sole ProprietorMRS. JENNIFER WALLY BLYSTONE, ATC, EMT is a Athletic Trainer healthcare provider located in INDIANA, Pennsylvania. NPI 1912147893 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · INDIANA, PA
Registration Details
- NPI Number
- 1912147893
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2009 (17.419428174327 yrs)
- Last Updated
- Mar 4, 2009
- License
-
RT001482A (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5140 WHITE OAK DRINDIANA, PA, 157019479Browse PA providers · Browse ZIP 15701
- Phone
- 7244639071
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in INDIANA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES JOSEPH RACCHINI | LAT, ATC | 1033102421 |
| MS. AMBER DAWN LOCKHART | ATC | 1619937125 |
| FRANK TRENNEY | — | 1033529003 |
| JESSICA S BAUM MEHUS | MS, LAT, ATC | 1558767343 |
| EVAN SCHREYER | LAT, ATC | 1518595586 |
| JEREMY ROBERT HILL | — | 1932779527 |
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.