MR. Jason Phillip Nussbaum, MS, ATC
NPI #1013157452 in Blythewood, South Carolina
Provider Information
- NPI Number
- 1013157452
- Entity Type
- Individual
- Name
- MR. Jason Phillip Nussbaum, MS, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC
- Enumeration Date
- Feb 25, 2009
- Last Updated
- Dec 23, 2014
Practice Location
- Address
- 180 TURKEY FARM RD
- City
- Blythewood
- State
- South Carolina
- ZIP Code
- 29016-9699
- Phone
- (803) 381-0168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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