Individual
KASEY JAHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5318 OUTLOOK BLVD APT 8305, PUEBLO, CO 81008-1493
(602) 826-6153
Mailing address
5318 OUTLOOK BLVD APT 8305, PUEBLO, CO 81008-1493
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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