IndividualActive
Jacob Sussman
NPI 1649069758 · Athletic Trainer · Newark, DE
Provider details
- NPI number
- 1649069758
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
1453 Hampton Rd
Allentown, PA 18104-2017
Registry dates
- Enumerated
- 2025-05-05
- Last updated
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.