Individual
JOANNA FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT/ ATC
Contact information
Practice address
117 W TIMOTHY ST, GILLETTE, WY 82718-5870
(307) 689-2527
Mailing address
117 W TIMOTHY ST, GILLETTE, WY 82718-5870
(307) 689-2527
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096
WY
2255A2300X
Athletic Trainer
AT4134
TX
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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