Individual
NICHOLAS KRISANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
315 PINECONE LN, IRWIN, PA 15642-4935
(724) 446-2163
Mailing address
315 PINECONE LN, IRWIN, PA 15642-4935
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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