| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NATHAN ORTH | 1306409834 | 2021-07-12 |
Nathan Orth is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306409834. Registration indicates Nathan Orth is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Nathan Orth ATC |
| Practice Office Address | 104 SALUDA POINTE DR LEXINGTON, SC US |
| Practice Office Telephone | 8032969209 |
| Mailing Address | 1013 E CEDAR RIDGE RD SANDY, UT 840945608 US |
| Business Telephone | 8015991065 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1304 Heyward St | Columbia, SC 29208 | 8037774202 |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist |
| 2000036044 | OTHER | CERTIFIED ATHLE | |
| AT2630 | OTHER | SC | DHEC |
| 175505958151 | OTHER | UT | BLS PROVIDER |