Randy W. Dillon, MS,ATC,LAT, LMT, PES

Athletic Trainer · Prospect Park, PA

Individual Active NPI

NPI number 1043810021

Practice location

617c Chester Pike
Prospect Park, PA 19076-1506
Phone
(267) 800-8031

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NPI record

NPI
1043810021
Entity type
Individual (Type 1)
Enumeration date
October 28, 2020
Last updated
October 28, 2024
Certified
October 28, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X RT003236 PA
Massage Therapist 225700000X MSG010353 PA

Mailing address

917 Old Fern Hill Rd Ste 500
West Chester, PA 19380-4255
Phone
(267) 800-8031

About Randy Dillon

Randy W. Dillon, MS,ATC,LAT, LMT, PES is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 617c Chester Pike, Prospect Park, PA 19076-1506. The NPI number 1043810021 was assigned on October 28, 2020 and the record was last updated on October 28, 2024.

Randy Dillon lists 2 licenses in the registry: #RT003236 (PA) for Athletic Trainer; #MSG010353 (PA) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randy W. Dillon, MS,ATC,LAT, LMT, PES?

The NPI number is 1043810021.

What is the phone number of Randy Dillon?

The phone number listed for the practice location is (267) 800-8031.

Where is Randy Dillon located?

617c Chester Pike, Prospect Park, PA 19076-1506.

What is the taxonomy code for Randy Dillon?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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