Individual
CASEY ANNETTE NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
926 GREEN ST, WARNER ROBINS, GA 31093-2742
(850) 982-6292
Mailing address
14135 US HIGHWAY 129, ABBEVILLE, GA 31001-2822
(850) 982-6292
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004454
GA
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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