Individual
EMILY HEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 W 36TH ST, READING, PA 19606-2917
(814) 221-9741
Mailing address
10 W 36TH ST, READING, PA 19606-2917
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005438
PA
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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