Individual
ANDREW JACOB ROUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-9593
Mailing address
7138 SW 80TH TER, GAINESVILLE, FL 32608-8412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000038169
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
02/17/2026
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