DEREK L NISSLEY

MOUNT JOY, PA
NPI1235216300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT002083A)
Enumeration Date2006-11-01
Last Update Date2018-11-30
Business Address
DEREK L NISSLEY ATC
1025 KOSER RD
MOUNT JOY, PA 17552
Phone number: 717-314-9537
Mailing Address
DEREK L NISSLEY ATC
1025 KOSER RD
MOUNT JOY, PA 17552-9288
Phone number: 717-314-9537
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