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

Mrs. Jennifer Wally Blystone, ATC, EMT

Individual provider Athletic Trainer · NPI 1912147893

Mrs. Jennifer Wally Blystone, ATC, EMT is an Athletic Trainer in Indiana, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2009
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
EMT — Emergency Medical Technician
Provides emergency care before and during transport to hospital.

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Practice location Address checks out

5140 White Oak Dr
Indiana, PA 15701-9479
Phone: (724) 463-9071
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence RT001482A (PA)

Record details

NPI number1912147893
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , EMT
Sole proprietorYes
NPI enumeratedMarch 4, 2009
Last updated in NPPESMarch 4, 2009

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