Individual
JENNIFER LYNN HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1221 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1011
(815) 245-8662
Mailing address
4305 PALMYRA ST, NEW ORLEANS, LA 70119-5924
(815) 245-8662
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200507
LA
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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