Individual
MR. BRANDON NOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
KEYSTONE HALL ROOM 120, KUTZTOWN UNIVERSITY, KUTZTOWN, PA 19530
(610) 683-4085
(610) 683-4664
Mailing address
262 DEGLER AVE, LEESPORT, PA 19533-9514
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003490
PA
Other
Enumeration date
02/01/2007
Last updated
09/27/2007
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