Individual
MRS. JESSICA ELIZABETH RAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
675 N M L KING JR BLVD, MONROE, NC 28110-8119
(704) 238-8883
(704) 238-8823
Mailing address
11516 DESTIN LN, CHARLOTTE, NC 28277-1208
(704) 996-8765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2199
NC
Other
Enumeration date
12/05/2013
Last updated
07/21/2022
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