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Individual

JESSICA LYNN SCHAEFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., ATC, PES

Contact information

Practice address
901 W. NEW YORK ST. SUITE 105, INDIANAPOLIS, IN 46202
(317) 278-8645
(317) 278-5245
Mailing address
7250 WINSLET BLVD APT 3C, INDIANAPOLIS, IN 46217-9493

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001659A
IN

Other

Enumeration date
05/03/2012
Last updated
05/03/2012
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