MEDICARE: EMILY BLOSSER

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

General Provider Information

NPI Number	:	1699466714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BLOSSER

Provider Business Mailing Address
First Line	:	12084 CENTER ST
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2367
Country	:	US
Telephone Number	:	724-708-1329
Fax Number	:

Provider Business Practice Location Address
First Line	:	12084 CENTER ST
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2367
Country	:	US
Telephone Number	:	724-708-1329
Fax Number	:

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

Provider Enumeration Date	:	05/18/2023
Last Update Date	:	09/01/2025

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Directions to “ EMILY BLOSSER ” Practice Location

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