Jason Luty, ATC
NPI #1659706943 in Wallingford, Pennsylvania
Provider Information
- NPI Number
- 1659706943
- Entity Type
- Individual
- Name
- Jason Luty, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Sep 5, 2013
- Last Updated
- Sep 5, 2013
Practice Location
- Address
- 205 S PROVIDENCE RD
- City
- Wallingford
- State
- Pennsylvania
- ZIP Code
- 19086-6333
- Phone
- (610) 310-7690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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