MS. LAURA MUDLOCK (NPI# 1144289018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144289018 |
| Entity Type | Individual |
| Full Name | MS. LAURA MUDLOCK |
| Credential | LAT, ATC, FD |
| Practice Address |
20 Memorial St Exeter PA 18643-2659 |
| Mailing Address |
18 Kennedy St Pittston PA 18640-1820 |
| Practice Telephone | 5706552836 |
| Mailing Telephone | 5708145019 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2014-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT002370A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
20 MEMORIAL ST |
| City | EXETER |
| State | PA |
| Zip Code | 18643-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255449195 | Wyoming Area School District | Local Education Agency (LEA) | 20 Memorial St, Exeter, PA 18643-2659 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861904195 | Willis Curtis Barnes Jr. | Anesthesiology | 311 Race St., West Pittston, PA 18643 | 2017-10-26 |
| 1114173887 | Ronald J Siejak | Physical Therapist | 1 Black Street, Ashley, PA 18643 | 2008-08-14 |
| 1528284098 | Linda Roseann Benson | Counselor | 341 Wyoming Ave, Suite #3, West Pittston, PA 18643 | 2007-04-17 |
| 1114042355 | John E Mcgurk | Physical Therapist | Rr4 Box 646, Encore Therapy Services Inc, W Pittston, PA 18643 | 2007-03-20 |
| 1306923768 | Ernani M Pagliarini | Dentist | 1291 Wyoming Ave, Exeter, PA 18643 | 2006-11-01 |
| 1780782425 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 960 Wyoming Ave, Exeter, PA 18643 | 2006-09-20 |
| 1588169601 | Jennifer Lynn Zimmerman Dnp Crnp LLC | Nurse Practitioner | 308 Terrace Ave, Harding, PA 18643 | 2018-03-29 |
| 1285140608 | Abs Group Inc. | Behavioral Analyst | 1122 Wyoming Ave, Exeter, PA 18643 | 2017-12-21 |
| 1457571002 | Jennifer L Montross | Occupational Therapist | Rr 4 Box 646, Encore Therapy Services Inc, W Pittston, PA 18643 | 2007-04-26 |
| 1568587798 | Janine H Dymond | Occupational Therapist | Rr4 Box 646, Encore Therapy Services Inc, W Pittston, PA 18643 | 2007-03-20 |
| Find all providers in zip 18643 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033644695 | Ryan Shane Dambach | Specialist/Technologist | 1073 Wyoming Ave Apt 2, Exeter, PA 18643-1915 | 2017-04-20 |
| 1518404763 | Madison Hamilton | Specialist/Technologist | 49 Washington St, Exeter, NH 03833-2017 | 2017-01-26 |
| 1801297064 | Janelle Myers | Specialist/Technologist | 505 Rocky Hill Dr, Exeter, CA 93221-1326 | 2014-09-08 |
| 1942339817 | Carolyn Anne O'hara | Specialist/Technologist | 50 Hampton Rd, Exeter, NH 03833-4813 | 2007-03-05 |
| 1760445175 | Wm. Gordon Coole Jr. | Specialist/Technologist | 20 Main St, Exeter, NH 03833-2438 | 2006-04-07 |
| 1851932396 | Craig Leo Duchesne | Specialist/Technologist | 1 Hampton Rd, Exeter, NH 03833-4848 | 2019-10-07 |
| 1831635341 | Taylor Brown | Specialist/Technologist | 5 Alumni Dr, Exeter, NH 03833-2128 | 2017-01-09 |
| 1134573025 | Devon Grant | Specialist/Technologist | 1 Hampton Rd Unit 200, Exeter, NH 03833-4855 | 2016-04-18 |
| 1922414887 | Adam Hernandez | Specialist/Technologist | 20 Main St, Exeter, NH 03833-2438 | 2014-07-10 |
| 1427193804 | Tracy Coole | Specialist/Technologist | 20 Main St, Exeter, NH 03833-2438 | 2007-02-21 |
| Find all providers in EXETER | ||||
Please comment or provide details below to improve the information on MS. LAURA MUDLOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.