Individual
JENNA LEEANN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, MS
Contact information
Practice address
3111 10TH ST, MARION, IA 52302-5434
(319) 447-3106
Mailing address
1620 RANMAR DR, ELY, IA 52227-9557
(319) 389-6449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
132965
IA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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