Individual
MR. JAMES REIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
5451 DORIS DR, ALLENTOWN, PA 18106-9382
(610) 776-2809
Mailing address
5451 DORIS DR, ALLENTOWN, PA 18106-9382
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003183
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
REHABILITATIVE
PA
Enumeration date
03/14/2007
Last updated
07/08/2007
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