Individual
JENA WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1001 E UNIVERSITY AVE, GEORGETOWN, TX 78626-6100
(830) 221-6165
Mailing address
1001 E UNIVERSITY AVE, GEORGETOWN, TX 78626-6100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000017533
TX
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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