Individual
MR. JEFFERY LYNN POTTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CST
Contact information
Practice address
540 MADISON OAK DR, SUITE 690, SAN ANTONIO, TX 78258-3943
(210) 491-3434
(210) 496-7746
Mailing address
515 SPRINGWOOD LN, ADKINS, TX 78101-2711
(830) 217-4472
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0624
TX
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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