SearchPennsylvania2255A2300X

Jason Luty, ATC

NPI 1659706943 · on the registry since 2013 · sole proprietor

Practice

Address
205 S Providence Rd
Wallingford, PA 19086
Phone
(610) 310-7690
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
Male
Record last updated
2013-09-05

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