SearchPennsylvaniaAthletic Trainer

Brandon Goodlavage

NPI 1417439779 · on the registry since 2018

Practice

Address
133 N River St
Wilkes Barre, PA 18711
Phone
(570) 208-5900
Organisation at this address
King'S College
Inferred from a shared address, not stated in the registry.
Clinicians at this address
61

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Also registered as
Student in an Organized Health Care Education/Training Program
Athletic Trainer
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-10

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