Individual
JENNA L CROFTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
7818 RIDGELOCH PL, CHARLOTTE, NC 28226-3008
(920) 960-4812
Mailing address
7818 RIDGELOCH PL, CHARLOTTE, NC 28226-3008
(920) 960-4812
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1530-39
WI
2255A2300X
Athletic Trainer
LAT-2563
NC
Other
Enumeration date
05/28/2014
Last updated
05/04/2022
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