IndividualActive
Jessica Koller, ATC
NPI 1992042360 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Columbia, SC
Provider details
- NPI number
- 1992042360
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 1339 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2 Medical Park Rd
Columbia, SC 29203-6808
Phone: (203) 470-1558
Approximate (ZIP-level) locationGet directions
Mailing address
215 Spencer Pl
Cayce, SC 29033-3980
Registry dates
- Enumerated
- 2013-01-05
- Last updated
- 2013-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.