Individual
JOHN ENTRIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
15200 KUTZTOWN RD, KUTZTOWN SPORTS MEDICINE, KUTZTOWN, PA 19530-9335
(610) 683-4085
Mailing address
369 N KEMP ST, KUTZTOWN, PA 19530-1241
(610) 683-6748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000660A
PA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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