Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUSTIN BUBB
Active Sole ProprietorAthletic Trainer · PORT ORANGE, FL
Registration Details
- NPI Number
- 1104361831
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2017 (9.2966927077408 yrs)
- Last Updated
- Jan 4, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
820 WHIPORWILL DRPORT ORANGE, FL, 321275969Browse FL providers · Browse ZIP 32127
- Phone
- 3865895573
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. AIMEE MICHELLE SMITH | ATC, LAT | 1912964891 |
| MISS HEATHER NICOLE LEMASTER | ATC/L | 1427326651 |
| KELLI BUNDZA | AT | 1477960771 |
| KELSEY TOMASZEWSKI | — | 1902206113 |
| KYLE MICHAEL RENTSCHLER | LAT, ATC, MS | 1417518994 |
| TABITHA E THODE | — | 1265086250 |
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.