| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1417155151 | BRAYFORD | MARK | DANIEL | 48 TUNNEL RD | POTTSVILLE | PA | 179013875 | |
| 1942722152 | CICERO | JARED | 48 TUNNEL RD | POTTSVILLE | PA | 179013875 | ||
| 1639386303 | PHILLIPS | JASON | 48 TUNNEL RD | POTTSVILLE | PA | 179013875 | ||
| 1487965893 | TIEDEKEN | NATHAN | 48 TUNNEL RD | POTTSVILLE | PA | 179013875 |