Provider Demographics
NPI:1326567389
Name:WRIGHT, JAMES (MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 DELMOUNT LN
Mailing Address - Street 2:
Mailing Address - City:JENKINS TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18640-3205
Mailing Address - Country:US
Mailing Address - Phone:570-709-3558
Mailing Address - Fax:
Practice Address - Street 1:84 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18766-0800
Practice Address - Country:US
Practice Address - Phone:570-408-4027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
PA390200000X
PARTO0004582255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program