Provider Demographics
NPI:1891768594
Name:NAASZ, JODI MARIE (ATC)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:MARIE
Last Name:NAASZ
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 S PORT ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3652
Mailing Address - Country:US
Mailing Address - Phone:443-257-6394
Mailing Address - Fax:410-276-1421
Practice Address - Street 1:3039 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3902
Practice Address - Country:US
Practice Address - Phone:410-327-8783
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer