Provider Demographics
NPI:1356788640
Name:AUGSBURER, NANCY RENEE (ATC, CSCS)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:RENEE
Last Name:AUGSBURER
Suffix:
Gender:F
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4663 BLACKLICK EASTERN RD NW
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:OH
Mailing Address - Zip Code:43105-9207
Mailing Address - Country:US
Mailing Address - Phone:740-862-2255
Mailing Address - Fax:
Practice Address - Street 1:4663 BLACKLICK EASTERN RD NW
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:OH
Practice Address - Zip Code:43105-9207
Practice Address - Country:US
Practice Address - Phone:740-862-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0000082255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer