Michael Vandegrift

NPI #1023714375 in Nazareth, Pennsylvania

Provider Information

NPI Number: 1023714375
Entity Type: Individual
Name: Michael Vandegrift
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 7, 2023
Last Updated: Feb 7, 2023

Practice Location

Address: 460 SEXTON RD
City: Nazareth
State: Pennsylvania
ZIP Code: 18064-9397
Phone: (484) 714-6532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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