Individual
JENNA LYNN CAPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
567 N 5TH ST, TERRE HAUTE, IN 47809-1903
(224) 627-8743
Mailing address
2223 LOTUS DR, ROUND LAKE HEIGHTS, IL 60073-1169
(224) 627-8742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001986A
IN
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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