Individual
JESSICA LYNN TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7274 WARDLEIGH RD BAY J, HILL AFB, UT 84056-5137
(248) 561-8834
Mailing address
635 40TH ST APT 303, SOUTH OGDEN, UT 84403-1880
(248) 561-8834
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0368
SD
2255A2300X
Athletic Trainer
Primary
13375815-4810
UT
Other
Enumeration date
09/21/2011
Last updated
08/25/2023
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