Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deidre Patrisso, ATHLETICTRAINER

Individual provider Athletic Trainer · NPI 1609496777

Deidre Patrisso, ATHLETICTRAINER is an Athletic Trainer in Honesdale, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
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Practice location Address checks out

10 Shuman Rd
Honesdale, PA 18431-2413
Phone: (570) 878-6663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT006125 (PA)

Record details

NPI number1609496777
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATHLETICTRAINER
Sole proprietorNo
NPI enumeratedApril 19, 2020
Last updated in NPPESApril 19, 2020
Certification dateApril 19, 2020

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