MEDICARE: MRS. KRISTIN SAYLOR ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	RT004070	PA

General Provider Information

NPI Number	:	1942348032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIN SAYLOR ATC

Provider Business Mailing Address
First Line	:	4851 PERKIOMEN AVE
Second Line	:	#41
City	:	READING
State	:	PA
Zip	:	19606-9526
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1940 N 13TH ST
Second Line	:	SUITE 130
City	:	READING
State	:	PA
Zip	:	19604-1539
Country	:	US
Telephone Number	:	610-921-0609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	07/08/2007

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