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Individual

MR. JOHN JOSEPH KASIK SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, CPED

Contact information

Practice address
329 HUNTERS BLIND DR, COLUMBIA, SC 29212-1651
(803) 708-0199
(803) 777-3135
Mailing address
329 HUNTERS BLIND DR, COLUMBIA, SC 29212-1651
(803) 708-0199
(803) 777-3135

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/31/2005
Last updated
04/15/2016
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