Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JELANI BACKUS
Active Sole ProprietorJELANI BACKUS is a Athletic Trainer healthcare provider located in BRIDGEWATER, Virginia. NPI 1093424970 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRIDGEWATER, VA
Registration Details
- NPI Number
- 1093424970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2022 (3.7155750101511 yrs)
- Last Updated
- Nov 18, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 E COLLEGE STBRIDGEWATER, VA, 228121511Browse VA providers · Browse ZIP 22812
- Phone
- 5408288000
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BRIDGEWATER, VA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT ROY HAMMILL | PHD, LAT, ATC, CSCS | 1942269816 |
| MRS. HEATHER ABBE FINCHAM | ATC | 1134404023 |
| MR. CHARLES WILLIAM HALE IV | MSED, VATL, ATC | 1336485887 |
| DR. BARBARA LONG | ED.D, VATL, ATC | 1952723744 |
| EMILY ONDREJKA | MS, LAT, ATC | 1598138703 |
| MR. SAMUEL BUSCHER | ATC | 1679010490 |
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.