Search › Pennsylvania › 2255A2300X
Kosie Shepherd-Porada, MS, ATC
NPI 1477796456 · on the registry since 2009
Practice
- Address
- 927 Menoher Blvd
Johnstown, PA 15905 - Phone
- (814) 255-6814
- Fax
- (814) 255-7963
- Organisation at this address
- Western Pennsylvania Sports Medicine & Rehabilitation Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-04-07
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