Search › Pennsylvania › 2255A2300X
Derek Nissley, ATC
NPI 1235216300 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1025 Koser Rd
Mount Joy, PA 17552 - Phone
- (717) 314-9537
Additional practice sites
- 915 Anderson Ferry Rd, Mount Joy, PA
- 915 Anderson Ferry Rd, Mount Joy, PA
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania