Individual
MRS. JENNIFER RASMUSSEN BUCKINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.,C.
Contact information
Practice address
LANSING COMMUNITY COLLEGE, PHYSICAL FITNESS AND WELLNESS DEPARTMENT-5600, LANSING, MI 48901-7210
(517) 483-1227
(517) 483-9839
Mailing address
1571 GALE RD, EATON RAPIDS, MI 48827-9610
(517) 663-5526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
MI
Enumeration date
02/26/2007
Last updated
07/08/2007
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