IndividualActive
Lisa Bussert
NPI 1083204184 · Athletic Trainer · Amanda, OH
Provider details
- NPI number
- 1083204184
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPN.148873.MEDS-IV (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8700 Oakland Stoutsville Rd Sw
Amanda, OH 43102-9553
Phone: (740) 503-4092
Approximate (ZIP-level) locationGet directions
Mailing address
8700 Oakland Stoutsville Rd Sw
Amanda, OH 43102-9553
Registry dates
- Enumerated
- 2021-01-22
- Last updated
- 2021-01-22
- Certified
- 2021-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.