Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE DURST, ATC, LAT
ActiveSports Medicine (EM) · FROSTBURG, MD
Registration Details
- NPI Number
- 1003203068
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2015 (11.016834724785 yrs)
- Last Updated
- Apr 16, 2015
- License
-
A00192 (MD)
Practice Information
- Address
-
101 BRADDOCK RDFROSTBURG STATE UNIVERSITY KINESIOLOGY DEPARTMENTFROSTBURG, MD, 215322303Browse MD providers · Browse ZIP 21532
- Phone
- 3016972801
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Other Sports Medicine (EM) Providers in FROSTBURG, MD
| Name | Credential | NPI |
|---|---|---|
| AUDREY COVINGTON | — | 1285379990 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.