JONATHAN W. SPACH

COLUMBIA, SC
NPI1295455335
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-08-30
Last Update Date2023-07-16
Business Address
Mr. JONATHAN W. SPACH SCAT, ATC
921 ASSEMBLY ST
COLUMBIA, SC 29208-8686
Phone number: 803-777-7000
Mailing Address
Mr. JONATHAN W. SPACH SCAT, ATC
2025 GERVAIS ST
COLUMBIA, SC 29204-1803
Phone number: 704-421-0395