NPI 1104781616

Nissa Rose Davis, ATC

Practitioner Athletic Trainer Aiken, SC

Practice location

Address: 2049 Champion Way, Aiken, SC 29801-5395
Phone: (719) 200-9770
Mailing address: 825 Leadership Dr APT G, Aiken, SC 29801-5391

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in South Carolina →

Registry record

NPI: 1104781616
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2025
Record last updated: 17 Dec 2025

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.