MR. Ronnie Lee Chastain JR., ATC
NPI #1932129020 in Clarks Summit, Pennsylvania
Provider Information
- NPI Number
- 1932129020
- Entity Type
- Individual
- Name
- MR. Ronnie Lee Chastain JR., ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 538 VENARD RD
- City
- Clarks Summit
- State
- Pennsylvania
- ZIP Code
- 18411-1250
- Phone
- (570) 585-9326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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