NPI 1104214931

Justin Hewitt, ATC

Practitioner Athletic Trainer Jackson, MS

Practice location

Address: 1500 Peachtree St, Jackson, MS 39202-1754
Phone: (601) 968-8791

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0670 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1104214931
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jan 2015
Record last updated: 1 Jan 2015

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.