Individual
JACQUELINE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
5050 E STATE ST, ROCKFORD, IL 61108-2311
(815) 394-3736
Mailing address
5257 LINDEN RD APT 10205, ROCKFORD, IL 61109-5859
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.016073
IL
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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