Individual
MRS. JENNIFER JOY HARDIN HUSEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1201 5TH ST, DENVER, CO 80204-2005
(303) 615-1328
Mailing address
PO BOX 173362, DENVER, CO 80217-3362
(417) 770-4017
(303) 556-8301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1999135153
MO
2255A2300X
Athletic Trainer
Primary
AT.0001164
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999135153
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
01
—
AT.0001164
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
03/21/2006
Last updated
04/21/2020
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