Individual
MR. ZACHARY TYLER NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
300 HIGH ST, MANCHESTER, PA 17345-1508
(717) 817-8601
Mailing address
300 HIGH ST, MANCHESTER, PA 17345-1508
(717) 817-8601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005569
PA
Other
Enumeration date
11/16/2013
Last updated
11/16/2013
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