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

Spencer Lewiston McIntosh, LAT, ATC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558028639

Spencer Lewiston McIntosh, LAT, ATC is a Student in an Organized Health Care Education/Training Program in Villanova, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

800 E Lancaster Ave
Villanova, PA 19085-1603
Phone: (610) 519-4500
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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 RT008218 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558028639
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedNovember 23, 2021
Last updated in NPPESJuly 28, 2023
Certification dateMay 24, 2023

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