Spencer Lewiston Mcintosh, LAT, ATC
NPI #1558028639 in Villanova, Pennsylvania
Provider Information
- NPI Number
- 1558028639
- Entity Type
- Individual
- Name
- Spencer Lewiston Mcintosh, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Nov 23, 2021
- Last Updated
- Jul 28, 2023
Practice Location
- Address
- 800 E LANCASTER AVE
- City
- Villanova
- State
- Pennsylvania
- ZIP Code
- 19085-1603
- Phone
- (610) 519-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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