NPI 1043736481

Jessica Anderson, MSATC

Practitioner Athletic Trainer Ithaca, NY

Practice location

Address: 953 Danby Rd, Ithaca, NY 14850-7000
Phone: (607) 274-1976
Mailing address: 953 Danby Rd G73 Hill Center, Ithaca, NY 14850

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 002641 (NY)

Other Specialist/Technologist providers in New York →

Registry record

NPI: 1043736481
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2017
Record last updated: 17 Aug 2017

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.