IndividualActive
Jessica Kushall, ATC
NPI 1821131467 · Athletic Trainer · Wilmington, DE
Provider details
- NPI number
- 1821131467
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- J3-0000167 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1812 Marsh Rd
Store 505
Wilmington, DE 19810-4581
Phone: (302) 475-7500
Fax: (302) 475-5787
Approximate (ZIP-level) locationGet directions
Mailing address
7206 Pleasant Ct
Wilmington, DE 19802-1771
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.