Individual
MRS. JENNIFER JEAN WAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
3010 N CIRCLE DR, STE 100, COLORADO SPRINGS, CO 80909-1182
(719) 632-7669
(719) 632-0088
Mailing address
6011 E WOODMEN RD, STE 120, COLORADO SPRINGS, CO 80923-2602
(719) 574-8383
(719) 574-8548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-995
CO
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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