Individual provider · Type 1 NPI

Macy J. Kantor

Student in an Organized Health Care Education/Training Program · Indiana, PA

NPI number 1104496793 Active

Practice location

1190 Maple St Zinc Hall
Indiana, PA 15705-0001

Call (724) 357-2770 Map

Mailing address

735 Cat Curv
Latrobe, PA 15650-6436

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104496793

Macy J. Kantor's National Provider Identifier is 1104496793, issued on Jun 28, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indiana, PA. The record was last updated on Jun 28, 2021.