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Individual
SPENCER LEWISTON MCINTOSH
Active
Individual
SPENCER LEWISTON MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008218
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2021
Last updated
07/28/2023
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