Individual
NYAISHA BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FORT JACKSON, COLUMBIA, SC 29207-5000
(803) 751-2160
Mailing address
1321 LADY ST APT 600, COLUMBIA, SC 29201-6244
(757) 869-4379
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
06/09/2023
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