Jelani Backus
NPI #1093424970 in Bridgewater, Virginia
Provider Information
- NPI Number
- 1093424970
- Entity Type
- Individual
- Name
- Jelani Backus
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Nov 18, 2022
- Last Updated
- Nov 18, 2022
Practice Location
- Address
- 402 E COLLEGE ST
- City
- Bridgewater
- State
- Virginia
- ZIP Code
- 22812-1511
- Phone
- (540) 828-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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