Individual
JACLYN GLENELL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2606 12TH AVE, CANYON, TX 79015-5424
(806) 206-3175
Mailing address
2606 12TH AVE, CANYON, TX 79015-5424
(806) 206-3175
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/20/2020
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