IndividualActive
Andrew Mutnan
NPI 1952837494 · Athletic Trainer · Pullman, WA
Provider details
- NPI number
- 1952837494
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 060202167 (WA)
Mailing address
109j Lasch Football Building
Univeristy Park, PA 16802
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2020-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.