Individual
MISS JENNIFER LYNN WITTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, OTC
Contact information
Practice address
205 OSCEOLA ST, LAURIUM, MI 49913-2134
(906) 337-6585
(906) 337-6573
Mailing address
280 5TH ST, ALLOUEZ, MI 49805-6918
(906) 337-6585
(906) 337-6573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
246Z00000X
Other Specialist/Technologist
07-0815
MI
Other
Enumeration date
02/15/2007
Last updated
07/30/2014
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