Individual
MR. TOM MCMAHON JENNINGS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
820 W 122ND ST, CARMEL, IN 46032-3828
(317) 691-0102
Mailing address
6959 WASHINGTON BLVD, INDIANAPOLIS, IN 46220-1052
(317) 691-0102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000179A
IN
Other
Enumeration date
09/14/2005
Last updated
07/08/2007
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