Provider Demographics
NPI:1508191099
Name:TEES, ANDREW J (MS, ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:J
Last Name:TEES
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 VOLVO WAY
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-9209
Mailing Address - Country:US
Mailing Address - Phone:717-530-6520
Mailing Address - Fax:
Practice Address - Street 1:312 VOLVO WAY
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-9209
Practice Address - Country:US
Practice Address - Phone:717-530-6520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0048242255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer