OrganizationActive
Kick Some Mass, LLC
NPI 1841673928 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Orange Park, FL
Provider details
- NPI number
- 1841673928
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Ruterbusch, Medical Director(904) 505-0628
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
Allopathic & Osteopathic Physicians
- Aerospace Medicine Physician2083A0100X
Allopathic & Osteopathic Physicians
Practice location
316 Parkridge Ave
Orange Park, FL 32065-7507
Phone: (904) 589-0750
Approximate (ZIP-level) locationGet directions
Mailing address
316 Parkridge Ave
Orange Park, FL 32065-7507
Registry dates
- Enumerated
- 2015-07-07
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.