Individual
ELISSA TILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
450 SCHOOLHOUSE RD, JOHNSTOWN, PA 15904-2912
(814) 269-2024
Mailing address
216 MIDWAY DR, JOHNSTOWN, PA 15905-3829
(814) 242-8797
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003873
PA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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