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

Grace Di Mullen

Individual provider Athletic Trainer · NPI 1366310864

Grace Di Mullen is an Athletic Trainer in Lewisburg, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

725 Rotc Dr
Lewisburg, PA 17837
Phone: (570) 577-3606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RTO000619 (PA)

Record details

NPI number1366310864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 8, 2025
Mailing address319 N 3rd St, Lewisburg, PA 17837-1101

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