Individual
JENNIFER JANIECE HORNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10408 HILLCREST RD APT 12, KANSAS CITY, MO 64134-4326
(530) 927-8750
Mailing address
10408 HILLCREST RD APT 12, KANSAS CITY, MO 64134-4326
(530) 927-8750
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2016023754
MO
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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