Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Durham

Individual provider Athletic Trainer · NPI 1386102556

Justin Durham is an Athletic Trainer in Beavercreek, Ohio. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

725 University Blvd
Beavercreek, OH 45324-2640
Phone: (636) 248-6171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8425 Engler Ave, Saint Louis, MO 63114-4126 — (573) 470-9692

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1386102556
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing address3153 Clubhouse Dr Apt 2, Beavercreek, OH 45431-5623

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