Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON PHILLIP NUSSBAUM, MS, ATC
ActiveMR. JASON PHILLIP NUSSBAUM, MS, ATC is a Athletic Trainer healthcare provider located in BLYTHEWOOD, South Carolina. NPI 1013157452 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BLYTHEWOOD, SC
Registration Details
- NPI Number
- 1013157452
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 25, 2009 (17.43362069104 yrs)
- Last Updated
- Dec 23, 2014
- License
-
858 (SC)
Practice Information
- Address
-
180 TURKEY FARM RDBLYTHEWOOD, SC, 290169699Browse SC providers · Browse ZIP 29016
- Phone
- 8033810168
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BLYTHEWOOD, SC
| Name | Credential | NPI |
|---|---|---|
| MEGAN LOUISE WILLISON | ATC | 1326711169 |
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.