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

Marissa Mondock

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912773623

Marissa Mondock is a Student in an Organized Health Care Education/Training Program in State College, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

1469 Chaumont Ave
State College, PA 16801-6998
Phone: (913) 777-1482
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912773623
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2023
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address1469 Chaumont Ave, State College, PA 16801-6998

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