Individual
MISS JESSICA ELAINE MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
98 S PARK BLVD, GREENWOOD, IN 46143-8836
(317) 887-7165
(317) 887-7340
Mailing address
98 S PARK BLVD, GREENWOOD, IN 46143-8836
(317) 887-7165
(317) 887-7340
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001707A
IN
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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