Derek L Nissley, ATC
NPI #1235216300 in Mount Joy, Pennsylvania
Provider Information
- NPI Number
- 1235216300
- Entity Type
- Individual
- Name
- Derek L Nissley, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Nov 30, 2018
Practice Location
- Address
- 1025 KOSER RD
- City
- Mount Joy
- State
- Pennsylvania
- ZIP Code
- 17552
- Phone
- (717) 314-9537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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