Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY ALAN HARDISTY, ACSM CPT
Active Sole ProprietorMR. JEFFREY ALAN HARDISTY, ACSM CPT is a Athletic Trainer healthcare provider located in EUGENE, Oregon. NPI 1215275367 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · EUGENE, OR
Registration Details
- NPI Number
- 1215275367
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2013 (13.572229143426 yrs)
- Last Updated
- Jan 24, 2013
- License
-
690411 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2420 CANTERBURY STEUGENE, OR, 974041901Browse OR providers · Browse ZIP 97404
- Phone
- 5417292920
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in EUGENE, OR
| Name | Credential | NPI |
|---|---|---|
| DAVID N. SUPRAK | MS, ATC, CSCS | 1215998265 |
| MARION K GIBSON | ATC | 1093777351 |
| LAURA L BAKER | ATC | 1295798395 |
| MARLEE HANSEN | ATC | 1669435624 |
| MS. KIMBERLY S TERRELL | ATC | 1497719934 |
| MR. DUSTIN EARL GIRARD | A.T.,C. | 1780649673 |
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.