Individual
ISABELLE ZUKAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29201-4347
(913) 222-6770
Mailing address
500 GILLS CREEK PKWY APT 1505, COLUMBIA, SC 29209-1240
(913) 222-6770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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