Individual
DR. STEPHANIE ANN JEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, ATC, LAT
Contact information
Practice address
3005 STADIUM DR, DEPARTMENT OF KINESIOLOGY, SUITE 172, FORT WORTH, TX 76129-0001
(817) 257-5733
Mailing address
PO BOX 297730, FORT WORTH, TX 76129-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1552
TX
Other
Enumeration date
05/21/2007
Last updated
02/13/2014
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