Individual
JENNIFER PRIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
101 S PLEASANT ST, SPRINGDALE, AR 72764-4246
(303) 594-3308
Mailing address
405 E NECESSARY RD, ROGERS, AR 72758-1311
(303) 594-3308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
662
AR
Other
Enumeration date
11/04/2017
Last updated
11/04/2017
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