NPI 1003809476
John Joseph Kasik, ATCCPED
Practice location
- Address
- 329 Hunters Blind Dr, Columbia, SC 29212-1651
- Phone
- (803) 708-0199
- Fax
- (803) 777-3135
Registered specialties (2)
Athletic Trainer
Primary
Orthotic Fitter
Registry record
- NPI
- 1003809476
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Aug 2005
- Record last updated
- 15 Apr 2016
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.