Individual
JESSICA KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
579 BURCALE RD, MYRTLE BEACH, SC 29579-8329
(801) 243-8901
Mailing address
28 HAMMOND RD, FALMOUTH, ME 04105-1910
(801) 243-8901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1124
SC
2255A2300X
Athletic Trainer
67110614810
UT
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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