Individual
JENNA ELIZABETH BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MS, SCAT
Contact information
Practice address
171 MOULTRIE ST, CHARLESTON, SC 29409-0002
(843) 557-2269
Mailing address
3 GRIER AVENUE, SEIGNIOUS HALL 2ND FLOOR ROOM 200, CHARLESTON, SC 29409
(843) 953-6867
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000019209
SC
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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