NPI 1124543418

Daniel Jacob Nussbaum

Practitioner Athletic Trainer Pella, IA

Practice location

Address: 812 University St, Pella, IA 50219-1902
Phone: (877) 462-3687
Mailing address: 5412 NW 92nd St, Johnston, IA 50131-1795

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1124543418
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Aug 2017
Record last updated: 8 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.