IndividualActive
Jason Kizzee, ATC
NPI 1477513281 · Athletic Trainer · Newport, RI
Provider details
- NPI number
- 1477513281
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT00169 (RI)
Practice location
440 Meyerkord Ave
Newport, RI 02841-1650
Phone: (401) 935-4023
Fax: (401) 841-2127
Mailing address
440 Meyerkord Ave
Newport, RI 02841-1650
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2026-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.