National Provider Identifier
Jessica Anderson, MS, ATC
Jessica Anderson, MS, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 274-1976.
Profile Overview
- NPI
- 1043736481
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- August 17, 2017
- Last Updated
- August 17, 2017
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7000
Phone: (607) 274-1976
Mailing Address
- 953 Danby RD
- G73 Hill Center
- Ithaca, NY 14850
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1043736481
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Jessica
- Credential
- MS, ATC
- Mailing Street Address
- 953 Danby RD
- Mailing Address Line 2
- G73 Hill Center
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 274-1976
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7000
- Practice Country
- US
- Practice Phone
- (607) 274-1976
- Enumeration Date
- August 17, 2017
- Last Updated
- August 17, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)