Individual
JAMIE ALEXIS WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 STRATFORD DR, STATE COLLEGE, PA 16801-4329
(740) 856-7564
Mailing address
765 STRATFORD DR, STATE COLLEGE, PA 16801-4329
(740) 856-7564
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03122
SC
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2018
Last updated
07/21/2023
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