Individual
JENNIFER K POPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, ATC, LAT
Contact information
Practice address
800 W STADIUM AVE, WEST LAFAYETTE, IN 47907
(765) 494-3167
Mailing address
800 W STADIUM AVE, WEST LAFAYETTE, IN 47907-2046
(765) 494-3167
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000419A
IN
Other
Enumeration date
10/05/2012
Last updated
09/04/2019
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