NPI 1295413557

Bryce Jackson, ATC

Practitioner Athletic Trainer Radford, VA

Practice location

Address: 101 University Dr, Radford, VA 24141
Phone: (540) 831-5345
Mailing address: 487 Woodland Ave, Wooster, OH 44691-2769

Registered specialties

Athletic Trainer Primary

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

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1295413557
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2023
Record last updated: 7 Jul 2023

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.