Individual
JENNIFER BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(843) 685-5640
Mailing address
458 OLD BOILING SPRINGS RD, SPARTANBURG, SC 29303-1921
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0419
SD
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
08/01/2013
Last updated
03/17/2018
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