Individual
JACQUELINE K. WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2121 EUCLID AVE, CLEVELAND, OH 44115-2226
(216) 687-4806
(216) 687-9267
Mailing address
2121 EUCLID AVE, CLEVELAND, OH 44115-2226
(216) 687-4806
(216) 687-9267
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-1686
OH
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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