Individual
JACLYNN SCROGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 W CIRCLE DR, EAST LANSING, MI 48824-3700
(517) 355-4710
Mailing address
49858 ALPINE DR, MACOMB, MI 48044-6125
(586) 767-9393
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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