NPI 1093424970

Jelani Backus

Practitioner Athletic Trainer Bridgewater, VA

Practice location

Address: 402 E College St, Bridgewater, VA 22812-1511
Phone: (540) 828-8000

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1093424970
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2022
Record last updated: 18 Nov 2022

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.