Individual
TAMI L. EISWERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., A.T.,C.
Contact information
Practice address
540 E MAIN ST, MIDDLEBURG, PA 17842-1218
(570) 837-0551
Mailing address
305 SHERMAN ST, MUNCY, PA 17756-1412
(570) 546-4943
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001098A
PA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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