Individual
CODY GLENN JENSCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5761 BEDFORD LN, THE COLONY, TX 75056-3705
(469) 948-3492
Mailing address
5761 BEDFORD LN, THE COLONY, TX 75056-3705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3225
TX
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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