Individual
MS. JENNA STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, PES
Contact information
Practice address
1 OLYMPIC PLZ, COLORADO SPRINGS, CO 80909-5780
(719) 866-2548
(719) 632-9282
Mailing address
1 OLYMPIC PLZ, COLORADO SPRINGS, CO 80909-5780
(719) 866-2548
(719) 632-9282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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