Tami L. Eiswerth, M.S., A.T.,C.
Specialist/Technologist, Athletic Trainer in Middleburg, PA. Individual provider (NPI-1).
NPI number1104843820
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104843820
- Entity type
- Individual (NPI-1)
- Name
- Tami L. Eiswerth
- Credential
- M.S., A.T.,C.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT001098A | PA | Yes |
Practice location
540 E Main StMiddleburg, PA 17842-1218
Phone 570-837-0551
Mailing address
305 Sherman StMuncy, PA 17756-1412
Phone 570-546-4943
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