Individual
JODI KAY WOTOWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2169 FIELD HOUSE DR, USAF ACADEMY, CO 80840-9599
(719) 333-0227
Mailing address
PO BOX 12, USAF ACADEMY, CO 80840-0012
(208) 406-3902
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2137
CO
2255A2300X
Athletic Trainer
AT-288
ID
Other
Enumeration date
07/25/2017
Last updated
06/08/2021
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