NPI 1013157452

Jason Phillip Nussbaum, MSATC

Practitioner Athletic Trainer Blythewood, SC

Practice location

Address: 180 Turkey Farm Rd, Blythewood, SC 29016-9699
Phone: (803) 381-0168

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 858 (SC)

Other Specialist/Technologist providers in South Carolina →

Registry record

NPI: 1013157452
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Feb 2009
Record last updated: 23 Dec 2014

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.