Healthcare Provider Details

I. General information

NPI: 1275497828
Provider Name (Legal Business Name): HANNAH MYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N COLLEGE AVE
ANNVILLE PA
17003-1404
US

IV. Provider business mailing address

2006 CRESTWYCK CIR
MOUNT JOY PA
17552-7220
US

V. Phone/Fax

Practice location:
  • Phone: 717-867-6959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: