Individual provider · NPI-1

Christopher Allyn Seldomridge, LAT, ATC. PES, CEAS

Specialist/Technologist, Athletic Trainer · Lebanon, PA

NPI number1124185145
StatusActive
Last updated in NPPESJun 15, 2014

Details

NPI
1124185145
Entity type
Individual (NPI-1)
Name
Mr. Christopher Allyn Seldomridge
Credential
LAT, ATC. PES, CEAS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 2, 2007
Last updated
Jun 15, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer0252NHYes

Practice location

115 E Evergreen Rd
Lebanon, PA 17042-7505

Phone 717-272-2033 · Fax 717-389-1880

Mailing address

115 E Evergreen Rd
105 E. Evergreen Rd
Lebanon, PA 17042-7505

Phone 717-272-2033 · Fax 717-389-1880

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