Individual
DUSTIN PAUL CARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
427 E SOUTH ST, EVERETT, PA 15537-1275
(814) 652-9114
(814) 652-6191
Mailing address
108 N MONTGOMERY ST APT 2, HOLLIDAYSBURG, PA 16648-1839
(814) 414-2780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007289
PA
Other
Enumeration date
11/10/2018
Last updated
12/26/2019
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