Most Relevant Information
Provider Data
| NPI Number: | 1003809476 |
| Provider Name: | JOHN JOSEPH KASIK ATC, CPED |
| Entity Type: | Individual |
| Taxonomy Code: | 225000000X |
| Specialty: | Orthotic Fitter |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2005 |
| Last Updated: | 04/15/2016 |
Provider Practice Location
329 HUNTERS BLIND DR
COLUMBIA
SC
292121651
Practice Location Phone/Fax
| Phone: | 8037080199 |
| Fax: | 8037773135 |
Provider Mailing Location
329 HUNTERS BLIND DR
COLUMBIA
SC
292121651
Provider Mailing Phone/Fax
| Phone: | 8037080199 |
| Fax: | 8037773135 |