National Provider Identifier

Jill Walker Dale, ATC

Jill Walker Dale, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Elmira, NY and a listed phone number of (607) 737-1393.

NPI 1144304650Elmira, NYAthletic Trainer

Profile Overview

NPI
1144304650
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
October 24, 2006
Last Updated
July 08, 2007

Practice Location

  • 303 W Water St
  • Elmira, NY 14901-2914

Phone: (607) 737-1393

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1144304650
Entity Type
Individual
Last Name
Dale
First Name
Jill
Middle Name
Walker
Name Prefix
MS.
Credential
ATC
Mailing Street Address
303 W Water St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2914
Mailing Country
US
Mailing Phone
(607) 737-1393
Mailing Fax
(607) 737-0775
Practice Street Address
303 W Water St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2914
Practice Country
US
Practice Phone
(607) 737-1393
Practice Fax
(607) 737-0775
Enumeration Date
October 24, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)