NPI 1194503177
Jack Burton Strength and Conditioning LLC
Practice location
- Address
- 1001 L St NW APT 203, Washington, DC 20001-6301
- Phone
- (662) 418-2938
- Mailing address
- 2545 Autumn Ter, Dalzell, SC 29040-8969
Authorised official
- Name
- Jack Burton
- Title
- Owner
- Phone
- (662) 418-2938
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1194503177
- Entity type
- Organization
- NPI issued
- 20 Sep 2023
- Record last updated
- 20 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.