# PFEIFFER UNIVERSITY SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215309687
- **Authorized official:** MR. JOHN LEVITT LAT, ATC (HEAD ATHLETIC TRAINER)
- **Authorized official phone:** (704) 463-3216

## Contact information

- **Practice address:** 48380 US-52, MISENHEIMER, NC 28109
- **Practice address phone:** (704) 473-3216
- **Practice address fax:** (704) 463-5051
- **Mailing address:** PO BOX 960, MERNER GYMNASIUM, MISENHEIMER, NC 28109
- **Mailing address phone:** (704) 473-3216
- **Mailing address fax:** (704) 463-5051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 390200000X | Student in an Organized Health Care Education/Training Program | 000020848 | NJ | Yes |

## Other

- **Enumeration date:** 10/26/2015
- **Last updated:** 10/26/2015