Individual
JEFFREY REED CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
CENTRAL MICHIGAN UNIVERSITY 145B ROSE CENTER, MOUNT PLEASANT, MI 48859-0001
(312) 508-0113
Mailing address
2900 GREYSTONE LN APT 19, MT PLEASANT, MI 48858-8455
(312) 508-0113
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001951
MI
Other
Enumeration date
05/12/2018
Last updated
05/12/2018
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