Provider Demographics
NPI:1316197684
Name:HAEUSSINGER, JASON SCOT (ATC, CSCS)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:SCOT
Last Name:HAEUSSINGER
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Gender:M
Credentials:ATC, CSCS
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Mailing Address - Street 1:4150 REGENTS PARK ROW
Mailing Address - Street 2:SUITE 365
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-9124
Mailing Address - Country:US
Mailing Address - Phone:858-587-8669
Mailing Address - Fax:
Practice Address - Street 1:4150 REGENTS PARK ROW
Practice Address - Street 2:SUITE 365
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-9124
Practice Address - Country:US
Practice Address - Phone:858-587-8669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer