Individual
JESSICA REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
INDIANA STATE UNIVERSITY, 220 N. 7TH STREET, TERRE HAUTE, IN 47809-0002
(812) 237-6311
Mailing address
INDIANA STATE UNIVERSITY, 220 N. 7TH STREET, TERRE HAUTE, IN 47809-0002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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