Individual
TIMOTHY ALLEN JAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2380 ELK LAKE SCHOOL RD, SPRINGVILLE, PA 18844-7710
(570) 278-1106
Mailing address
1694 JAYNE RD, LACEYVILLE, PA 18623-7821
(570) 869-0990
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004232
PA
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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