John J Riesenberg in Spartanburg - Athletic Trainer

John J Riesenberg - NPI 1154545887

John J Riesenberg is a Athletic Trainer in Spartanburg, South Carolina. John J Riesenberg practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for John J Riesenberg is 1154545887. The last update date is 2008-09-15.

John J Riesenberg's current location address is 101 E Wood St, Spartanburg, South Carolina. You can contact this provider via phone number 8645606000. The mailing address for John J Riesenberg is 101 E Wood St, Spartanburg, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name John J Riesenberg
Address 101 E Wood St, Spartanburg, South Carolina
Phone Number 8645606000
Fax Number
Sole Proprietor N
Credentials ATC

NPI Number Detail

NPI Number 1154545887
Provider Enumeration Date 2007-04-12
Last Updated Date 2008-09-15

Provider Mailing Address Detail

Address 101 E Wood St
City Spartanburg
State South Carolina (SC)
Post Code 29303
Phone Number 8645606000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No 70502170
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
70502170 SC NATA CERTIFICATION
843 SC DHEC

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FAQs about John J Riesenberg

What is the John J Riesenberg's unique identification number?

The John J Riesenberg has been assigned the NPI (National Provider Identifier) Number 1154545887 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of John J Riesenberg?

The John J Riesenberg is situated at 101 E Wood St, in the city of Spartanburg, state of SC, with the zip code 29303.

What is John J Riesenberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John J Riesenberg is Athletic Trainer, and the taxonomy code that categorizes this field of expertise is 2255A2300X.

On what date was the 1154545887 assigned to John J Riesenberg?

The John J Riesenberg was issued its 1154545887 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to John J Riesenberg last refreshed?

The information related to the John J Riesenberg, including its address, specialty, and other relevant details, was last updated on 2008-09-15.

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