Individual
JESSICA S BAUM MEHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
660 S 11TH ST, MEMORIAL FIELD HOUSE, INDIANA, PA 15705-1030
(724) 357-2726
Mailing address
6382 FERGUSON RD, INDIANA, PA 15701-9473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003505
PA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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